Tanner Ryan Staley
Tanner Ryan Staley is a Physician Assistant in Polson, Montana. Qualified in 2022, 4 years ago. Practices with St Lukes Community Hospital, a 61-clinician group and accepts Medicare assignment. Licensed in Montana.
- Years since qualifying
- 4
- Licensed in
- MT
- In the registry since
- 2022
Practice location Address checks out
104 Rufus LnPolson, MT 59860-8903
Phone: (406) 883-2555
Fax: (406) 883-2559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (MT) |
|---|
Record details
| NPI number | 1225764541 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 28, 2022 |
| Last updated in NPPES | November 5, 2024 |
| Certification date | November 5, 2024 |
| Mailing address | 104 Rufus Ln, Polson, MT 59860-8903 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | St Lukes Community Hospital — 61 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Polson
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Jedidiah Allen Petersen, PA
6 13th Ave E, Polson, MT 59860-5315 · (406) 883-5680
-
Joshua Russell, PA-C
106 Ridgewater Dr Ste A, Polson, MT 59860-8977 · (406) 883-3200
-
Eric M Schallock, PA
107 Ridgewater Dr, Polson, MT 59860-8977 · (406) 676-4441
-
Wade Paul Shipley, PA-C
6 13th Ave E, Polson, MT 59860 · (406) 883-5680
-
Timothy W. Thornton, PA-C
6 13th Ave E, Polson, MT 59860-5315 · (406) 883-5680