Individual
MR. TANNER TOD THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
725 S DOBSON RD STE 100, CHANDLER, AZ 85224-5676
(602) 795-8700
(602) 795-8701
Mailing address
20280 N 59TH AVE STE 115-617, GLENDALE, AZ 85308-6850
(602) 795-8710
(602) 795-8701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8056
AZ
Other
Enumeration date
07/06/2020
Last updated
10/16/2020
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