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NPI Code Detail

MEDICARE: TANNER MEMORIAL CLINIC

MEDICARE: TANNER MEMORIAL CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207V00000XObstetrics & Gynecology Physician
3208000000XPediatrics Physician
4213E00000XPodiatrist
5207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1043299845
Entity Type Code : Organization
Provider Name (Legal Business Name) : TANNER MEMORIAL CLINIC
Provider Business Mailing Address
First Line : 2038 W 1900 S
Second Line :
City : SYRACUSE
State : UT
Zip : 84075-9320
Country : US
Telephone Number : 801-773-4840
Fax Number : 801-525-8151
Provider Business Practice Location Address
First Line : 2038 W 1900 S
Second Line :
City : SYRACUSE
State : UT
Zip : 84075-9320
Country : US
Telephone Number : 801-773-4840
Fax Number : 801-525-8151
Authorized Official
Title or Position : PRESIDENT
Name : STEVEN MEEK
Credential : M.D.
Telephone Number : 801-773-4840
Provider Enumeration Date : 01/11/2006
Last Update Date : 01/20/2020

Similar Medicare Providers

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1871579920 — TEELA SORENSEN MD
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1750434577 — DAVID D FARNSWORTH M.D.
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1750414314 — ISLAND VIEW PHARMACY INC
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1821212291 — DR. ROBERT EVAN OWEN M.D.
Practice Location Address:
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Practice Fax: 801-926-1032
1679816078 — ANDREW MARC STEVENS MD
Practice Location Address:
2038 W 1900 S
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84075-9320
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Practice Fax: 801-525-8151

Directions to “TANNER MEMORIAL CLINIC ” Practice Location

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