Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON DEE TANNER, PA
ActiveBRANDON DEE TANNER, PA is a Physician Assistant healthcare provider located in TWIN FALLS, Idaho. NPI 1750667762 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TWIN FALLS, ID
Registration Details
- NPI Number
- 1750667762
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2011 (14.761569922133 yrs)
- Last Updated
- Mar 17, 2021
- License
-
PA-1058 (ID)
Practice Information
- Address
-
388 MARTIN STTWIN FALLS, ID, 833014544Browse ID providers · Browse ZIP 83301
- Phone
- 2087340451
- Fax
- 2087340452
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| CHUCK B FULLER | PA-C | 1124015102 |
| WINSTON N PETERSEN | PA-C | 1194714717 |
| JEREMY DAVID WILLES | PAC | 1356314843 |
| BRIAN KEITH BIZIK | P.A. | 1932166956 |
| NEELIE BERLIN WILLIS | PA-C | 1477590958 |
| NICHOLAS J PERIUS | PA | 1154363000 |
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.