Individual
TANNER WOLZ RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 432-2677
Mailing address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 432-2677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9546186
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
10637895-4406
UT
Other
Enumeration date
11/09/2022
Last updated
08/22/2024
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