BRAD TANNER

MURRAY, UT
NPI1831407147
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X Surgery, Vascular Surgery
(Licence: UT  7777106-1206)
Enumeration Date2010-09-21
Last Update Date2010-09-21
Business Address
-- BRAD TANNER PA
5323 WOODROW ST STE 102
MURRAY, UT 84107-5853
Phone number: 801-913-1010
Mailing Address
-- BRAD TANNER PA
5444 SOUTH GREEN STREET
MURRAY, UT 84123
Phone number: 801-284-1702