MR. Tanner Bo Carlson, PA-C

NPI #1669982740 in Globe, Arizona

Provider Information

NPI Number
1669982740
Entity Type
Individual
Name
MR. Tanner Bo Carlson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Oct 3, 2017
Last Updated
Oct 3, 2017

Practice Location

Address
1100 E MONROE ST STE 101
City
Globe
State
Arizona
ZIP Code
85501-1304
Phone
(928) 425-8200

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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