TANNER MEMORIAL CLINIC NPI 1174295562

NPI Information

NPI: 1174295562
Provider Name: TANNER MEMORIAL CLINIC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
1660 W ANTELOPE DR STE 110
LAYTON, UT
ZIP 84041
Phone: (801) 773-4840
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TANNER MEMORIAL CLINIC is a primary podiatric medicine podiatrist in Layton, UT. TANNER MEMORIAL CLINIC NPI is 1174295562. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1660 W ANTELOPE DR STE 110
LAYTON, UT
ZIP 84041-155
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 enumeration date for this NPI number is 10/4/2021 and was last updated on 10/4/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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