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
Phone: (801) 913-1010
Fax: (801) 262-3897
Website:
Health care specialties
| Specialty | Code | License # | 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 15 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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