| NPI | 1104356013 |
|---|---|
| Doing Business As | TANNER CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN SPAINHOWER Business Services Director 801-525-8726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2020-01-20 |