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David E Tanner, DO
General Practice Physician in Newport, Pennsylvania
NPI 1629032776

David E Tanner is a General Practice Physician based in Newport, PA. David E Tanner practices in Newport, PA and has the professional credentials of DO. The NPI Number for David E Tanner is 1629032776 and holds a License No. OSOO4411L (Pennsylvania).

The current practice location address for David E Tanner is 82 Red Hill Rd, Newport, PA and can be reached out via phone at 717-567-7884.

Location: 82 Red Hill Rd, Newport, PA, 17074-8708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629032776
Provider Name
David E Tanner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
82 Red Hill Rd, Newport, PA, 17074-8708
Phone Number
717-567-7884
Fax Number
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005986020003 05 PA
080031059 01 PW PALMETTA GBA
TA148070 01 PA HIGHMARK BLUE SHIELD
01014602 01 PA CAPITAL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
82 Red Hill Rd
City
Newport
State
Pennsylvania
Zip
17074-8708
Phone Number
717-567-7884
Fax Number
person
Provider Business Mailing Address Details
Address
82 Red Hill Rd
City
Newport
State
Pennsylvania
Zip
17074-8708
Phone Number
717-567-7884
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
OSOO4411L (Pennsylvania)
Definition
Definition to come...
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