# TANNER MEMORIAL CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tanner Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760934533
- **Authorized official:** JAY YATES M.D. (PRESIDENT)
- **Authorized official phone:** (801) 773-4840

## Contact information

- **Practice address:** 1750 E 3100 N, LAYTON, UT 84040
- **Practice address phone:** (801) 773-4840
- **Mailing address:** 2121 N 1700 W, LAYTON, UT 84041-8803
- **Mailing address phone:** (801) 773-4840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 162143-1205 | UT | Yes |

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 01/20/2020