Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER CODY CLARK, M.D.
ActiveTANNER CODY CLARK, M.D. is a Diagnostic Radiology healthcare provider located in BEDFORD, NH 03110, New Hampshire. NPI 1689060139 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · BEDFORD, NH 03110, NH
Registration Details
- NPI Number
- 1689060139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2015 (11.35253574175 yrs)
- Last Updated
- Sep 8, 2023
- Licenses
-
MD60961230 (WA)24268 (NH)
Practice Information
- Address
-
703 RIVERWAY PLACEBEDFORD, NH 03110, NH, 03110Browse NH providers · Browse ZIP 03110
- Phone
- 6036271661
- Fax
- 6036696944
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.