BRANDON DEE TANNER

TWIN FALLS, ID
NPI1750667762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1058)
Enumeration Date2011-10-24
Last Update Date2021-03-17
Business Address
BRANDON DEE TANNER PA
388 MARTIN ST
TWIN FALLS, ID 83301-4544
Phone number: 208-734-0451
Mailing Address
BRANDON DEE TANNER PA
794 EASTLAND DR
TWIN FALLS, ID 83301-6856
Phone number: 208-737-6718
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