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1396957254
PETER LEE TANNER
ROOSEVELT, UT
NPI
1396957254
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Other Name
PETE TANNER
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301088735)
Enumeration Date
2007-05-04
Last Update Date
2022-07-21
Business Address
Dr. PETER LEE TANNER M.D.
250 W 300 N
ROOSEVELT, UT 84066-2336
Phone number: 435-722-4691
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Mailing Address
Dr. PETER LEE TANNER M.D.
250 W 300 N
ROOSEVELT, UT 84066-2336
Phone number: 435-725-7448
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