Individual
TANNER JAMES ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
64 E 100 N, GUNNISON, UT 84634
(435) 528-7246
Mailing address
64 E 100 S, GUNNISON, UT 84634-7709
(435) 528-7246
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14018337-1204
UT
208600000X
Surgery Physician
5151013904
MI
Other
Enumeration date
06/18/2019
Last updated
07/11/2024
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