Search › New York › 363A00000X
Douglas Tanner, PHYSICIAN ASSISTANT
NPI 1386688307 · on the registry since 2006
Practice
- Address
- 210 E Main St
Springville, NY 14141 - Phone
- (716) 592-3635
- Organisation at this address
- Concord Medical Group Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-14
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 New York