Tanner Rae Mazur, PA-C
NPI #1124674270 in Wilkes Barre, Pennsylvania
Provider Information
- NPI Number
- 1124674270
- Entity Type
- Individual
- Name
- Tanner Rae Mazur, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 14, 2019
- Last Updated
- Sep 27, 2022
Practice Location
- Address
- 1175 E MOUNTAIN BLVD
- City
- Wilkes Barre
- State
- Pennsylvania
- ZIP Code
- 18702-7906
- Phone
- (570) 808-1095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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