Tanner, Brad

Tanner, Brad is an individual health care provider with primary practice located at 5323 Woodrow St Ste 102 , Murray UT 84107-5853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Tanner, Brad can be contacted via phone (801) 913-1010.

Contact Information

Primary practice address
5323 Woodrow St Ste 102 Murray UT 84107-5853
Fax: (801) 262-3897
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 7777106-1206 Utah

Profile Details

NPI number 1831407147
LBN Legal business name Tanner, Brad
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2010
Last updated Sep 21st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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