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1275515355
MARTIN BRYAN TANNER
ALEXANDRIA, LA
NPI
1275515355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: LA 012039)
Enumeration Date
2005-11-15
Last Update Date
2008-04-01
Business Address
Mr. MARTIN BRYAN TANNER M.D.
501 MEDICAL CENTER DR SUITE 200
ALEXANDRIA, LA 71301-8124
Phone number: 318-487-1289
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Mailing Address
Mr. MARTIN BRYAN TANNER M.D.
2710 MARYE ST
ALEXANDRIA, LA 71301-4924
Phone number: 318-487-8349
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