Individual provider · Type 1 NPI
Tanner Bo Carlson, PA-C
Medical Physician Assistant · Globe, AZ
NPI number
1669982740
Active
Practice location
1100 E Monroe St Ste 101
Globe, AZ 85501-1304
Fax (928) 425-8406
Mailing address
PO Box 1641
Globe, AZ 85502-1641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 6896 (AZ) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Globe
About NPI 1669982740
Tanner Bo Carlson, PA-C's National Provider Identifier is 1669982740, issued on Oct 3, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Globe, AZ. The record was last updated on Oct 3, 2017.