| Doctor Name: | PAUL R TANNER |
| NPI Number: | 1003921404 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25372 |
| Business Practice Address: | 6019 Walnut Grove Memphis, TN - 38120 |
| Business Phone Number: | 9013838860 |
| Business Fax Number: | 9013831194 |
| Mailing Address: | Po Box 2121, MEMPHIS |
| State: | TN |
| Postal Code: | 38159 |
| Phone Number: | 9013838860 |
| Fax Number: | 9013838985 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 25372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |