Organization
CUSTOM DME
Active
Other names
FeelingWholeAgain.com
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BENJAMIN TANNER CCA (OWNER)
(801) 997-0545
Entity
Organization
Contact information
Practice address
1455 S 500 W STE D, BOUNTIFUL, UT 84010-8252
(801) 997-0545
(888) 977-5399
Mailing address
3474 S 100 E, BOUNTIFUL, UT 84010-6605
(801) 997-0545
(888) 977-5399
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
—
—
229N00000X
Anaplastologist
Primary
—
—
Other
Enumeration date
02/18/2009
Last updated
10/31/2024
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