Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TANNER BO CARLSON, PA-C
ActiveMR. TANNER BO CARLSON, PA-C is a Medical Physician Assistant healthcare provider located in GLOBE, Arizona. NPI 1669982740 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · GLOBE, AZ
Registration Details
- NPI Number
- 1669982740
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2017 (8.8265441803063 yrs)
- Last Updated
- Oct 3, 2017
- License
-
6896 (AZ)
Practice Information
- Address
-
1100 E MONROE ST STE 101GLOBE, AZ, 855011304Browse AZ providers · Browse ZIP 85501
- Phone
- 9284258200
- Fax
- 9284258406
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in GLOBE, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. SHERIDA CARLSON | PAC | 1225107667 |
| LAURA MARIE PAULSON | PA-C | 1972053072 |
| MARGARET JOHNSTON | — | 1760119523 |
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.