TANNER CODY CLARK

BEDFORD, NH 03110, NH
NPI1689060139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NH  24268)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: WA  MD60961230)
Enumeration Date2015-04-11
Last Update Date2023-09-08
Business Address
TANNER CODY CLARK M.D.
703 RIVERWAY PLACE
BEDFORD, NH 03110, NH 03110
Phone number: 603-627-1661
Mailing Address
TANNER CODY CLARK M.D.
703 RIVERWAY PLACE
BEDFORD, NH 03110, NH 03110
Phone number: 603-627-1661