Whalio Doctors

NPI 1003921404

Paul R Tanner, MD

Practitioner Diagnostic Radiology Physician Memphis, TN

Practice location

Address
6019 Walnut Grove, Memphis, TN 38120
Phone
(901) 383-8860
Fax
(901) 383-1194
Mailing address
PO Box 2121, Memphis, TN 38159

Registered specialties

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 25372 (TN)

Registry record

NPI
1003921404
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.