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Search › Montana › 363A00000X

Tanner Staley

NPI 1225764541 · on the registry since 2022

Practice

Address
104 Rufus Ln
Polson, MT 59860
Phone
(406) 883-2555
Fax
(406) 883-2559
Organisation at this address
St. Lukes Community Hospital
St Patricks Hospital And Health Sciences Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana