NPI 1053846857

Tanner Nichols, DO

Practitioner Diagnostic Radiology Physician Rogers, AR

Practice location

Address: 2710 S Rife Medical Ln, Rogers, AR 72758-1452
Phone: (870) 897-5840
Mailing address: 522 S Hunt Club Blvd # 413, Apopka, FL 32703-4960

Registered specialties (3)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 4643 (TN)

Other Radiology providers in Arkansas →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 26319 (MS)

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence E-13773 (AR)

Registry record

NPI: 1053846857
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2017
Record last updated: 19 Jun 2023

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.