Individual provider · Type 1 NPI

Tanner Bishoff

Student in an Organized Health Care Education/Training Program · Travis Afb, CA

NPI number 1467101394 Active

Practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Call (707) 423-3000 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X01092643A (IN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1467101394

Tanner Bishoff's National Provider Identifier is 1467101394, issued on Mar 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Travis Afb, CA. The record was last updated on Jun 12, 2026.