Individual
TANNER CANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5950 UNIVERSITY AVE STE 265, WEST DES MOINES, IA 50266-8233
(515) 875-9450
(515) 875-9457
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
108441
IA
Other
Enumeration date
08/13/2019
Last updated
12/15/2023
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