Search › California › 363AM0700X
Tanner Cavanaugh
NPI 1811394976 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3105 Mchenry Ave Ste 101
Modesto, CA 95350 - Phone
- (209) 575-2700
- Organisation at this address
- Modesto Dermatology And Skin Cancer Pc
La Laser Center Pc, A Professional Medical CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 1623 Hospital Loop, Owyhee, NV
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 146N00000X
- Licence states on file
- NV, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-17
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 California