Michael Tankersley MD

NPI 1114997814 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1114997814
Gender Male
Enumeration Date 01/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2200 BERGQUIST DR
SUITE 1
LACKLAND A F B TX, 78236-9907, US
Phone (210) 292-5717
Fax (210) 292-7033
Business Location
2200 BERGQUIST DR
SUITE 1, 759TH MDOS/MMIA
LACKLAND A F B TX, 78236-9907, US
Phone
Fax
Toxanomy
Taxonomy Code 207K00000X
License State Alaska
License Number 4424
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According to our database, Dr. Michael Tankersley MD NPI is 1114997814, taxonomy code is 207K00000X and license number is 4424, license state is located at Alaska. Michael Tankersley MD physically located at 2200 Bergquist Dr, Lackland A F B TX, 78236-9907. NPI Number Michael Tankersley MD has the Individual type.

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1114997814 NPI number is provided on an as is basis without warranty of any kind. 1114997814 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Tankersley MD are for informational purposes only.