Tanner, Andrew Scott

Tanner, Andrew Scott is an individual health care provider with primary practice located at 2222 N Nevada Ave Suite Cc-101, Colorado Springs CO 80907-6819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Tanner, Andrew Scott can be contacted via phone (719) 776-5281.

Contact Information

Primary practice address
2222 N Nevada Ave Suite Cc-101 Colorado Springs CO 80907-6819
Fax: (719) 776-2525
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 44693 Colorado

Profile Details

NPI number 1679501456
LBN Legal business name Tanner, Andrew Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 2nd, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679501456 NPPES
Colorado MEDICAID 67328032

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