Korina Ann Tanner MD

NPI 1033138342 - Family Medicine - 207Q00000X

NPI Details
NPI 1033138342
Gender Female
Enumeration Date 07/18/2006
Last Updated 12/05/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2 MEDICAL PLAZA DR
SUITE 130
ROSEVILLE CA, 95661-3043, US
Phone (916) 865-1400
Fax (916) 865-1401
Business Location
10470 OLD PLACERVILLE RD
SUITE 100
SACRAMENTO CA, 95827-2539, US
Phone (800) 470-0071
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Washington
License Number MD00037673
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According to our database, Dr. Korina Ann Tanner MD NPI is 1033138342, taxonomy code is 207Q00000X and license number is MD00037673, license state is located at Washington. Korina Ann Tanner MD physically located at 2 Medical Plaza Dr, Roseville CA, 95661-3043. NPI Number Korina Ann Tanner MD has the Individual type.

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1033138342 NPI number is provided on an as is basis without warranty of any kind. 1033138342 is maintained by the National Plan & Provider Enumeration System. The contents of Korina Ann Tanner MD are for informational purposes only.