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1831407147
BRAD TANNER
MURRAY, UT
NPI
1831407147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: UT 7777106-1206)
Enumeration Date
2010-09-21
Last Update Date
2010-09-21
Business Address
-- BRAD TANNER PA
5323 WOODROW ST STE 102
MURRAY, UT 84107-5853
Phone number: 801-913-1010
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Mailing Address
-- BRAD TANNER PA
5444 SOUTH GREEN STREET
MURRAY, UT 84123
Phone number: 801-284-1702
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