Individual
ANDREW BRENT TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 ALTAMIRA AVE, CEDAR CITY, UT 84720
(435) 586-0213
Mailing address
472 E 200 S, B, CEDAR CITY, UT 84720-3313
(435) 531-0488
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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