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Tanner Souza, DO
NPI 1447837166 · on the registry since 2021
Practice
- Address
- 1130 W Prairie Ave
Coeur D Alene, ID 83815 - Phone
- (208) 209-0288
- Fax
- (208) 209-0289
- Clinicians at this address
- 11
Additional practice sites
- 6655 S Cimarron Rd Ste 100, Las Vegas, NV
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- General Practice Physician
- Licence states on file
- NV, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-23
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 Idaho