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Individual

DR. PETER LEE TANNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-4691
(435) 722-9291
Mailing address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 725-7448
(435) 722-9291

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
359620-1205
UT
207P00000X
Emergency Medicine Physician
4301088735
MI

Other

Enumeration date
05/04/2007
Last updated
01/29/2025
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