Tanner D Mitton, PA-C
Tanner D Mitton, PA-C is a Physician Assistant in Blackfoot, Idaho. Qualified in 2012, 14 years ago. Practices with Wray Dermatology, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 14
- Licensed in
- ID
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1355 Parkway Dr Ste ABlackfoot, ID 83221-1656
Phone: (986) 275-0003
Fax: (986) 275-0005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-1262 (ID) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1144601865 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 18, 2015 |
| Last updated in NPPES | June 30, 2026 |
| Certification date | June 30, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Wray Dermatology — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Blackfoot
-
Heather Faye Grimmett, PA
1441 Parkway Dr, Blackfoot, ID 83221-1667 · (208) 785-2600
-
Danielle Hamill
700 E Alice St, Blackfoot, ID 83221-4925 · (208) 785-1200
-
Mr. Alfonso Jr Hernandez, PA-C
466 Horrocks Dr, Blackfoot, ID 83221-3452 · (307) 399-5925
-
Julia McGee, PA-C
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 782-2930
-
Ashley Nichole Thomas, PA-C
710 E Alice St, Blackfoot, ID 83221 · (208) 785-1200
-
David Woodbury, PA
326 Poplar St, Blackfoot, ID 83221-1741 · (986) 275-0003