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Individual

MR. SHONN J TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
596 W 750 S STE 210, BOUNTIFUL, UT 84010-7262
(801) 298-2533
(801) 928-2882
Mailing address
5151 S 900 E, SUITE 100, SALT LAKE CITY, UT 84117-6657
(801) 261-3321
(801) 261-5942

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8649084-2401
UT

Other

Enumeration date
02/06/2015
Last updated
07/21/2022
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