Organization
SUNRISE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK J TANNER (OWNER)
(801) 763-2111
Entity
Organization
Contact information
Practice address
36 N 1100 E STE D, AMERICAN FORK, UT 84003-2918
(801) 763-2111
Mailing address
36 N 1100 E STE D, AMERICAN FORK, UT 84003-2918
(801) 763-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
325851-1205
UT
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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