Individual
BRIAN TESNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
(888) 313-5258
(205) 313-5245
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0895
(888) 313-5258
(205) 313-5245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9102113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291386100
—
FL
Enumeration date
08/01/2007
Last updated
08/01/2007
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