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Individual

BOYD D TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA.C

Contact information

Practice address
2230 N UNIVERSITY PKWY, SUITE 1A, PROVO, UT 84604-1509
(801) 830-9486
(801) 655-1890
Mailing address
2230 N UNIVERSITY PKWY, SUITE 1A, PROVO, UT 84604-1509
(801) 830-9486
(801) 655-1890

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6316068-1206
UT

Other

Enumeration date
02/06/2007
Last updated
12/21/2011
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