Dr Glen J Tanner, DC | |
34597 N 60th St, Scottsdale, AZ 85262-5240 | |
(480) 595-6100 | |
(480) 595-6102 |
Full Name | Dr Glen J Tanner |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 29 Years |
Location | 34597 N 60th St, Scottsdale, Arizona |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942362330 | NPI | - | NPPES |
AZ0244750 | Other | AZ | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | 5739 (Arizona) | Primary |
Provider Name | Tanner Chiropractic, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194262766 PECOS PAC ID: 5193000636 Enrollment ID: O20170323000964 |
Mailing Address | Practice Location Address |
---|---|
Dr Glen J Tanner, DC 6795 E Eagle Feather Rd, Scottsdale, AZ 85262-7360 Ph: (480) 703-4536 | Dr Glen J Tanner, DC 34597 N 60th St, Scottsdale, AZ 85262-5240 Ph: (480) 595-6100 |
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