Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Douglas Evan Tanner, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1386688307

Mr. Douglas Evan Tanner, PHYSICIANASSISTANT is a Physician Assistant in Springville, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

210 E Main St
Springville, NY 14141-1442
Phone: (716) 592-3635
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005527-1 (NY)

Record details

NPI number1386688307
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESApril 14, 2008

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