| Justin Tanner Md Llc | |
|
59724 Mancos Ln Montrose CO 81403-7375 | |
| (303) 906-4201 | |
| Not Available |
| Full Name | Justin Tanner Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 59724 Mancos Ln, Montrose, Colorado |
| Authorized Official Name and Position | Justin Tanner (OFFICIAL) |
| Authorized Official Contact | 3039064201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Tanner Md Llc 59724 Mancos Ln Montrose CO 81403-7375 Ph: (303) 906-4201 | Justin Tanner Md Llc 59724 Mancos Ln Montrose CO 81403-7375 Ph: (303) 906-4201 |
| NPI Number | 1205259777 |
|---|---|
| Provider Enumeration Date | 02/03/2014 |
| Last Update Date | 02/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205259777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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