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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DOUGLAS EVAN TANNER, PHYSICIAN ASSISTANT

Active

MR. DOUGLAS EVAN TANNER, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in SPRINGVILLE, New York. NPI 1386688307 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SPRINGVILLE, NY

Registration Details

NPI Number
1386688307
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2006 (19.974919237265 yrs)
Last Updated
Apr 14, 2008
License
005527-1 (NY)

Practice Information

Address
210 E MAIN ST
SPRINGVILLE, NY, 141411442
Browse NY providers · Browse ZIP 14141
Phone
7165923635
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SPRINGVILLE, NY

Name Credential NPI
CELESTINE SZULEWSKI P.A. 1679560510
MARTHA ANDRES RPA-C 1902813629
MELISSA FANTON RPA-C 1902998974
MONICA K BALON PA 1700036464
SARAH A ANDREWS PA 1194026484
LAURALEE SIBIGA PA-C 1710311923
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.