Tanner Stefan Dictter
Physician Assistant in Mesa, AZ. Individual provider (NPI-1).
NPI number1962335596
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1962335596
- Entity type
- Individual (NPI-1)
- Name
- Tanner Stefan Dictter
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2026
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | AZ | Yes |
Practice location
5850 E Still CirMesa, AZ 85206-3618
Phone 480-219-6000
Mailing address
5850 E Still CirMesa, AZ 85206-3618
Phone 480-219-6000
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All 472 Physician Assistant providers in Mesa · All 13,507 providers in Mesa
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