TANNER ALEXANDER ISRAEL

URBANA, IL
NPI1811618010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-09-06
Last Update Date2023-04-19
Business Address
Mr. TANNER ALEXANDER ISRAEL
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-3311
Mailing Address
Mr. TANNER ALEXANDER ISRAEL
611 W PARK ST FAPC
URBANA, IL 61801-2529
Phone number: 217-383-3311
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