Individual provider · Type 1 NPI

Tanner Cavanaugh

Medical Physician Assistant · Modesto, CA

NPI number 1811394976 Active

Practice location

3105 Mchenry Ave Ste 101
Modesto, CA 95350-1439

Call (209) 575-2700 Map

Mailing address

PO Box 130
Owyhee, NV 89832

Other practice locations

  • 1623 Hospital Loop, Owyhee, NV 89832-1200 · (775) 757-2415

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician 146N00000X74381 (NV)
Medical Physician Assistant Primary 363AM0700X59206 (CA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1811394976

Tanner Cavanaugh's National Provider Identifier is 1811394976, issued on Dec 4, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Modesto, CA. The record was last updated on May 17, 2021.