TANNER MEMORIAL CLINIC NPI 1104356013

NPI Information

TANNER MEMORIAL CLINIC is an allergy allergy immunology in Murray, UT. TANNER MEMORIAL CLINIC NPI is 1104356013. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tanner Clinic.

The provider's business location address is:

5296 S COMMERCE DR
MURRAY, UT
ZIP 84107-767
Phone: (801) 773-4840
Fax: (801) 525-8151

The provider's authorized official is Kevin Spainhower .
The authorized official title is Business Services Director and has the following contact phone number (801) 525-8726.

The CLIA number assigned to this NPI record is 46D2159618 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/13/2017 and was last updated on 1/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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