NPI | 1174295562 |
---|---|
Doing Business As | TANNER CLINIC |
Entity Type | Organization |
Authorized Contact | KEVIN SPAINHOWER Business Services Director 801-525-8726 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
Enumeration Date | 2021-10-04 |
Last Update Date | 2021-10-04 |