MRS. Tiffany Jane Tanner, PA-C

NPI #1902131980 in Basin, Wyoming

Provider Information

NPI Number: 1902131980
Entity Type: Individual
Name: MRS. Tiffany Jane Tanner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 8, 2009
Last Updated: May 21, 2024

Practice Location

Address: 525 NORTH 5TH STREET
City: Basin
State: Wyoming
ZIP Code: 82410
Phone: (307) 568-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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