Search › Idaho › 207ND0900X
Jordan Tanner, MD
NPI 1538746953 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2199 N Merritt Creek Loop
Coeur D Alene, ID 83814 - Phone
- (208) 665-7546
- Organisation at this address
- North Idaho Dermatology, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207ND0900X
207ND0900X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-15
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