BRANDON TANNER, PA
Physician Assistant
Active
Individual
NPI: 1750667762
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA-1058 (ID) |
Frequently Asked Questions
NPI 1750667762 is the National Provider Identifier for BRANDON TANNER, PA, a Physician Assistant provider located in Twin Falls, ID. This NPI was enumerated on October 24, 2011.
BRANDON TANNER, PA practices at 388 MARTIN ST, Twin Falls, ID 83301.
Quick Facts
- NPI
- 1750667762
- Type
- Individual
- Enumerated
- Oct 24, 2011
- Last Updated
- Mar 17, 2021
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