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Barry Tanner

NPI 1134611783 · on the registry since 2018 · sole proprietor

Practice

Address
3710 Rebecca Ln Apt B307
Colorado Springs, CO 80917
Phone
(719) 499-0467

Registry record

Primary taxonomy
347C00000X
347C00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado