RUSSELL TANNER, P.A.-C
Physician Assistant - Medical
Active
Individual
NPI: 1871544486
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA02552 (TX) |
Frequently Asked Questions
NPI 1871544486 is the National Provider Identifier for RUSSELL TANNER, P.A.-C, a Physician Assistant - Medical provider located in Bridgeport, TX. This NPI was enumerated on May 16, 2006.
RUSSELL TANNER, P.A.-C practices at 808 WOODROW WILSON RAY CIR, Bridgeport, TX 76426.
Quick Facts
- NPI
- 1871544486
- Type
- Individual
- Enumerated
- May 16, 2006
- Last Updated
- Jul 8, 2007
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