person
Paul R Tanner, MD
Diagnostic Radiology Physician in Memphis, Tennessee
NPI 1003921404

Paul R Tanner is a Diagnostic Radiology Physician based in Memphis, TN and is specialized in Diagnostic Radiology. Paul R Tanner practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Paul R Tanner is 1003921404 and holds a License No. 25372 (Tennessee).

The current practice location address for Paul R Tanner is 6019 Walnut Grove, Memphis, TN and can be reached out via phone at 901-383-8860 and via fax at 901-383-1194.

Location: 6019 Walnut Grove, Memphis, TN, 38159
person
Provider Profile Details
NPI Number
1003921404
Provider Name
Paul R Tanner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6019 Walnut Grove, Memphis, TN, 38159
Phone Number
901-383-8860
Fax Number
901-383-1194
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3016599 01 TN BCBS
P00074329 01 MS MEDICARE RR
00115692 05 MS
3092642 05 TN
97090 01 AR BCBS
institution
Provider Business Practice Location Address Details
Address
6019 Walnut Grove
City
State
Zip
38120
Phone Number
901-383-8860
Fax Number
901-383-1194
person
Provider Business Mailing Address Details
Address
6019 Walnut Grove
City
State
Zip
38120
Phone Number
901-383-8860
Fax Number
901-383-1194
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
25372 (Tennessee)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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