NPI 1134611783

Barry Tanner

Practitioner Private Vehicle Colorado Springs, CO

Practice location

Address: 3710 Rebecca Ln APT B307, Colorado Springs, CO 80917-5034
Phone: (719) 499-0467

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 13-248-0342 (CO)

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Registry record

NPI: 1134611783
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2018
Record last updated: 30 May 2018

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.