Individual
SAVANNAH TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
707 PASEO DE PERALTA, SANTA FE, NM 87501-1922
(505) 989-8707
(505) 989-3536
Mailing address
707 PASEO DE PERALTA, SANTA FE, NM 87501-1922
(505) 989-8707
(505) 989-3536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2014-0033
NM
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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