Individual
TANNER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
458 N 500 W, BOUNTIFUL, UT 84010-6948
(801) 292-9355
(801) 296-8050
Mailing address
458 N 500 W, BOUNTIFUL, UT 84010-6948
(801) 292-9355
(801) 296-8050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10316520-1202
UT
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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