| Doctor Name: | DAVID E TANNER |
| NPI Number: | 1629032776 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OSOO4411L |
| Business Practice Address: | 82 Red Hill Rd Newport, PA - 170748708 |
| Business Phone Number: | 7175677884 |
| Business Fax Number: | |
| Mailing Address: | 82 Red Hill Rd, P.o. Box 10 NEWPORT |
| State: | PA |
| Postal Code: | 170748708 |
| Phone Number: | 7175677884 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2006 |
| NPI Last Update Date: | 06/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OSOO4411L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |