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Dr. James D. Tanner, D.c., P.a.
Medical Specialty Clinic/Center in Idaho Falls, Idaho
NPI 1275715559

Dr. James D. Tanner, D.c., P.a. is a Medical Specialty Clinic/Center based in Idaho Falls, ID and is specialized in Medical Specialty. Dr. James D. Tanner, D.c., P.a. practices in Idaho Falls, ID. The NPI Number for Dr. James D. Tanner, D.c., P.a. is 1275715559 and holds a License No. CHIA-1260 (Idaho).

The current practice location address for Dr. James D. Tanner, D.c., P.a. is 6070 E Sagewood Dr, Idaho Falls, ID and can be reached out via phone at 208-552-4646.

Location: 6070 E Sagewood Dr, Idaho Falls, ID, 83406-5077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275715559
Provider Name
Dr. James D. Tanner, D.c., P.a.
Credential
Provider Entity Type
Organization
Address
6070 E Sagewood Dr, Idaho Falls, ID, 83406-5077
Phone Number
208-552-4646
Fax Number
Provider Enumeration Date
11/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6070 E Sagewood Dr
City
Idaho Falls
State
Idaho
Zip
83406-5077
Phone Number
208-552-4646
Fax Number
person
Provider Business Mailing Address Details
Address
6070 E Sagewood Dr
City
Idaho Falls
State
Idaho
Zip
83406-5077
Phone Number
208-552-4646
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
CHIA-1260 (Idaho)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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