| Tanner Chiropractic, Pllc | |
|
33755 N. Scottsdale Rd #101, Scottsdale, AZ 85266-1567 | |
| (480) 595-6100 | |
| (480) 595-6102 |
| Full Name | Tanner Chiropractic, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 33755 N. Scottsdale Rd #101, Scottsdale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194262766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5739 (Arizona) | Primary |
| Provider Name | Glen J Tanner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942362330 PECOS PAC ID: 6204924848 Enrollment ID: I20101214000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Chiropractic, Pllc 33755 N. Scottsdale Rd #101, Scottsdale, AZ 85266-1567 Ph: (480) 595-6100 | Tanner Chiropractic, Pllc 33755 N. Scottsdale Rd #101, Scottsdale, AZ 85266-1567 Ph: (480) 595-6100 |
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