TANNER CANOVA

WEST DES MOINES, IA
NPI1396391637
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IA  108441)
Enumeration Date2019-08-13
Last Update Date2023-12-15
Business Address
TANNER CANOVA
5950 UNIVERSITY AVE STE 265
WEST DES MOINES, IA 50266-8233
Phone number: 515-875-9450
Mailing Address
TANNER CANOVA
PO BOX 424
DES MOINES, IA 50302-0424
Phone number: 515-875-9255
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