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Individual
DAVID LYON TANNER
Active
Individual
DAVID LYON TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
188114-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107007959101
IHC
UT
01
—
112017
HEALTHY U
UT
01
—
2000040
UNITED HEALTHCARE
UT
01
—
260488
DESERET MUTUAL
UT
05
—
401765
—
MT
01
—
62239
PEHP
UT
05
—
706509
—
AZ
01
—
870280408TA1
EDUCATORS MUTUAL
UT
01
—
PRA04909
MOLINA
UT
01
—
QM0000047288
ALTIUS
UT
Enumeration date
08/30/2006
Last updated
07/08/2007
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