Individual
SARAH A TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5002 W GLENDALE AVE, STE 104, GLENDALE, AZ 85301-2756
(623) 847-5300
(623) 847-5304
Mailing address
1938 E WATSON DR, TEMPE, AZ 85283-3225
(623) 947-5300
(623) 847-5304
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4979
AZ
Other
Enumeration date
09/30/2011
Last updated
02/28/2014
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