Individual
JOANNA L TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3723 W 12600 S, RIVERTON, UT 84065-7295
(801) 507-4384
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8738131-1205
UT
208M00000X
Hospitalist Physician
Primary
8738131-1205
UT
Other
Enumeration date
09/24/2006
Last updated
11/24/2025
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