| NPI | 1801364369 |
|---|---|
| Other Name | TANNER CLINIC WESTSIDE |
| Entity Type | Organization |
| Authorized Contact | KEVIN SPAINHOWER Business Services Director 801-773-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2020-01-20 |