TIFFANY JANE TANNER

BASIN, WY
NPI1902131980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WY  PA1142)
Enumeration Date2009-10-08
Last Update Date2024-05-21
Business Address
Mrs. TIFFANY JANE TANNER PA-C
525 NORTH 5TH STREET
BASIN, WY 82410
Phone number: 307-568-3700
Mailing Address
Mrs. TIFFANY JANE TANNER PA-C
525 NORTH 5TH STREET
BASIN, WY 82410
Phone number: 307-568-3700
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