# TANNER MEMORIAL CLINIC

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

## Provider details

- **NPI number:** 1922638287
- **Authorized official:** KEVIN SPAINHOWER (BUSINESS SERVICES DIRECTOR)
- **Authorized official phone:** (801) 773-4840

## Contact information

- **Practice address:** 2132 N 1700 W, SUITE 310, LAYTON, UT 84041
- **Practice address phone:** (801) 773-4840
- **Practice address fax:** (801) 525-8151
- **Mailing address:** PO BOX 337, LAYTON, UT 84041-0337
- **Mailing address phone:** (801) 773-4840
- **Mailing address fax:** (801) 525-8151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2020
- **Last updated:** 01/24/2020