Individual
KOLTON LEVI TANNER ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 742-9000
Mailing address
1005 S WASHINGTON ST, PLAINVILLE, KS 67663-3607
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
557524
KS
367500000X
Certified Registered Nurse Anesthetist
D170072
IA
Other
Enumeration date
10/18/2017
Last updated
07/15/2025
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