Paul Benjamin Tanner, MBA, CCA is an anaplastologist in Bountiful, UT. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). Paul Benjamin Tanner, MBA, CCA NPI is 1760607428. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1455 S 500 W STE D
BOUNTIFUL, UT
ZIP 84010-252
Phone: (801) 997-0545
Fax: (888) 977-5399
The enumeration date for this NPI number is 4/16/2007 and was last updated on 7/10/2023.