Individual provider · Type 1 NPI

Tanner Rae Mazur, PA-C

Physician Assistant · Wilkes Barre, PA

NPI number 1124674270 Active

Practice location

1175 E Mountain Blvd
Wilkes Barre, PA 18702-7906

Call (570) 808-1095 Map

Fax (570) 808-7878

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Other practice locations

  • 3 W Olive St, Scranton, PA 18508-2572 · (570) 961-3822
  • 648 N Main St, Taylor, PA 18517-1112 · (570) 348-1101
  • 3 W Olive St Ste 118, Scranton, PA 18508 · (570) 961-3823
  • 648 N Main St, Taylor, PA 18517-1112 · (570) 348-1101

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700XMA060718 (PA)
Physician Assistant Primary 363A00000XMA060718 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124674270

Tanner Rae Mazur, PA-C's National Provider Identifier is 1124674270, issued on Aug 14, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Sep 27, 2022.