TANNER WINGER

LOGAN, UT
NPI1497370456
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: UT  12485839-1206)
Enumeration Date2020-06-15
Last Update Date2021-10-13
Business Address
TANNER WINGER
2310 N 400 E STE A
LOGAN, UT 84341-1796
Phone number: 435-787-2000
Mailing Address
TANNER WINGER
PO BOX 30015 DEPT 214
SALT LAKE CITY, UT 84130-0015
Phone number: 435-787-2000
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