MR. Douglas Evan Tanner, PHYSICIAN ASSISTANT
NPI #1386688307 in Springville, New York
Provider Information
- NPI Number
- 1386688307
- Entity Type
- Individual
- Name
- MR. Douglas Evan Tanner, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jun 16, 2006
- Last Updated
- Apr 14, 2008
Practice Location
- Address
- 210 E MAIN ST
- City
- Springville
- State
- New York
- ZIP Code
- 14141-1442
- Phone
- (716) 592-3635
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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