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1396391637
TANNER CANOVA
WEST DES MOINES, IA
NPI
1396391637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 108441)
Enumeration Date
2019-08-13
Last Update Date
2023-12-15
Business Address
TANNER CANOVA
5950 UNIVERSITY AVE STE 265
WEST DES MOINES, IA 50266-8233
Phone number: 515-875-9450
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Mailing Address
TANNER CANOVA
PO BOX 424
DES MOINES, IA 50302-0424
Phone number: 515-875-9255
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