THOMAS J. TAVENNER

RICHFIELD, UT
NPI1912002536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  149511205797)
Enumeration Date2006-09-14
Last Update Date2009-02-26
Business Address
-- THOMAS J. TAVENNER CRNA
1000 N MAIN ST
RICHFIELD, UT 84701-1857
Phone number: 435-893-4100
Mailing Address
-- THOMAS J. TAVENNER CRNA
1105 N 500 E
RICHFIELD, UT 84701-1917
Phone number: 435-896-2934
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