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TANNER STALEY

Physician Assistant

NPI: 1225764541IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

CMS Specialties

Education

OTHER

Class of 2022

Contact & Hours

Address
104 RUFUS LN
POLSON, MT 59860

Quick Facts

NPI
1225764541
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
4

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