JACOB TANNER KOBERNICK

SUN CITY WEST, AZ
NPI1942093695
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  11158)
Enumeration Date2025-05-27
Last Update Date2025-08-27
Business Address
JACOB TANNER KOBERNICK PA-C
14520 W GRANITE VALLEY DR STE 210
SUN CITY WEST, AZ 85375-5855
Phone number: 866-974-2673
Mailing Address
JACOB TANNER KOBERNICK PA-C
18444 N 25TH AVE STE 310
PHOENIX, AZ 85023-1266
Phone number: 866-974-2673
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