Tanner Mccalley PA-C

NPI 1235565813 - Physician Assistant - 363A00000X

NPI Details
NPI 1235565813
Gender Male
Enumeration Date 09/16/2013
Last Updated 09/16/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1800 MULBERRY ST
SCRANTON PA, 18510-2369, US
Phone (570) 969-8233
Fax
Business Location
100 N ACADEMY AVE
CREDENTIALS DEPT
DANVILLE PA, 17822-4903, US
Phone (570) 271-6144
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Pennsylvania
License Number OA003100
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According to our database, Mr. Tanner Mccalley PA-C NPI is 1235565813, taxonomy code is 363A00000X and license number is OA003100, license state is located at Pennsylvania. Tanner Mccalley PA-C physically located at 1800 Mulberry St, Scranton PA, 18510-2369. NPI Number Tanner Mccalley PA-C has the Individual type.

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1235565813 NPI number is provided on an as is basis without warranty of any kind. 1235565813 is maintained by the National Plan & Provider Enumeration System. The contents of Tanner Mccalley PA-C are for informational purposes only.