# TANNER MEMORIAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871572503
- **Authorized official:** STEVE MEEK M.D. (PRESIDENT)
- **Authorized official phone:** (801) 773-4840

## Contact information

- **Practice address:** 380 N 400 W, KAYSVILLE, UT 84037-3135
- **Practice address phone:** (801) 773-4840
- **Practice address fax:** (801) 525-8151
- **Mailing address:** 380 N 400 W, KAYSVILLE, UT 84037-3135
- **Mailing address phone:** (801) 773-4840
- **Mailing address fax:** (801) 525-8151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 01/11/2006
- **Last updated:** 01/20/2020