Individual
MR. TANNER BRYCE EBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1617 E WINDMILL LN STE 100, LAS VEGAS, NV 89123-1933
(702) 645-7800
Mailing address
507 EMDEN ST, HENDERSON, NV 89015-4642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3370
NV
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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