Individual
FRANCIS TODD TARNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
559 VINCENT ST, PETERSON AIR FORCE BASE, CO 80914-1540
(719) 556-1060
(719) 556-9677
Mailing address
559 VINCENT ST, 21ST MEDICAL GROUP SGHQ, PETERSON AFB, CO 80914-1540
(719) 556-1060
(719) 556-9677
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1036645
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036645
NATL COMM ON CERT OF PAS
—
Enumeration date
04/25/2006
Last updated
07/08/2007
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