Tanner D Mitton, PA-C

NPI #1144601865 in Pocatello, Idaho

Provider Information

NPI Number: 1144601865
Entity Type: Individual
Name: Tanner D Mitton, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 18, 2015
Last Updated: Apr 26, 2017

Practice Location

Address: 950 HOSPITAL WAY
Address 2: STE A
City: Pocatello
State: Idaho
ZIP Code: 83201-2762
Phone: (208) 478-4522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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