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Organization
TANNER MEMORIAL CLINIC
Active
Organization
TANNER MEMORIAL CLINIC
Active
Other names
Tanner Clinic Westside
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SPAINHOWER (BUSINESS SERVICES DIRECTOR)
(801) 773-4840
Entity
Organization
Contact information
Practice address
1477 N 2000 W STE C, CLINTON, UT 84015-9099
(801) 773-4840
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
01/20/2020
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