| Tanner Ryan Staley, | |
|
211 E 2nd St, Libby, MT 59923-2047 | |
| (406) 293-8711 | |
| Not Available |
| Full Name | Tanner Ryan Staley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 211 E 2nd St, Libby, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225764541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Ryan Staley, 2245 Canvasback Ct, Kalispell, MT 59901-8915 Ph: (406) 381-8174 | Tanner Ryan Staley, 211 E 2nd St, Libby, MT 59923-2047 Ph: (406) 293-8711 |
Mr. Tony Albert Fantozzi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 E 2nd St, Libby, MT 59923 Phone: 406-283-6900 | |
Robert J O'rourke, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 E 2nd St, Libby, MT 59923 Phone: 406-283-6900 | |
Mrs. Rosemary Edith Bergroos, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 350 Louisiana Ave, Libby, MT 59923 Phone: 406-293-0133 | |
Mr. Jesse Thomas Brown, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Louisiana Ave, Libby, MT 59923 Phone: 406-293-0190 | |
Mrs. Severine Mia Clemence Basham, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 E 2nd St, Libby, MT 59923 Phone: 406-293-8711 Fax: 406-293-8735 | |
Cheryl Gourley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 E 2nd St, Libby, MT 59923 Phone: 406-293-8711 |