Tanner C Clark, MD
Radiology, Diagnostic Radiology in Bedford, Nh 03110, New Hampshire
1689060139- Practice location
- 703 Riverway Place, Bedford, Nh 03110, NH 03110
- Phone
- 603-627-1661
- Fax
- 603-669-6944
- Last updated
- September 8, 2023
Tanner Cody Clark is a Radiology, Diagnostic Radiology based in Bedford, Nh 03110, NH. Tanner Cody Clark practices in Bedford, Nh 03110, NH and has the professional credentials of MD. The NPI Number for Tanner Cody Clark is 1689060139 and holds a License No. MD60961230 (WA). The current practice location address for Tanner Cody Clark is 703 Riverway Place, Bedford, Nh 03110, NH 03110 and can be reached out via phone at 603-627-1661 and via fax at 603-669-6944.
Provider Profile Details
- NPI Number
- 1689060139
- Provider Name
- Tanner Cody Clark
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 703 Riverway Place, Bedford, Nh 03110, NH 03110
- Phone Number
- 603-627-1661
- Fax Number
- 603-669-6944
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 11, 2015
- Last Update Date
- September 8, 2023
- Certification Date
- September 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 703 Riverway Place
Bedford, Nh 03110, NH 03110 - State
- New Hampshire
- Zip
- 03110
- Phone Number
- 603-627-1661
- Fax Number
- 603-669-6944
Provider Business Mailing Address Details
- Address
- 703 Riverway Place
Bedford, Nh 03110, NH 03110 - City
- Bedford, Nh 03110
- State
- NH
- Zip
- 03110
- Phone Number
- 603-627-1661
- Fax Number
- 603-669-6944
License Information
- License Number (1)
- MD60961230
- License State (1)
- WA
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (2)
- 24268
- License State (2)
- NH
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Bedford, Nh 03110, NH
View all Radiology, Diagnostic Radiology providers in Bedford, Nh 03110 →Frequently Asked Questions
What is the NPI number of Tanner C Clark, MD?
The NPI number of Tanner C Clark, MD is 1689060139. It was assigned on April 11, 2015 and is currently active in the NPPES registry.
What is the specialty of Tanner C Clark, MD?
Tanner C Clark, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in WA under license number MD60961230.
Where does Tanner C Clark, MD practice?
The practice location is 703 Riverway Place, Bedford, Nh 03110, NH 03110. The office can be reached at 603-627-1661 (phone) or 603-669-6944 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689060139 directly on the NPPES registry website.