MR. Tanner Alexander Israel

NPI #1811618010 in Urbana, Illinois

Provider Information

NPI Number: 1811618010
Entity Type: Individual
Name: MR. Tanner Alexander Israel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 6, 2022
Last Updated: Apr 19, 2023

Practice Location

Address: 611 W PARK ST
City: Urbana
State: Illinois
ZIP Code: 61801-2529
Phone: (217) 383-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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