Organization · Type 2 NPI
Tanner Memorial Clinic
Primary Podiatric Medicine Podiatrist · Layton, UT
NPI number
1174295562
Active
Practice location
1660 W Antelope Dr Ste 110
Layton, UT 84041-1155
Fax (801) 525-8151
Mailing address
PO Box 337
Layton, UT 84041-0337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | None listed |
Primary Podiatric Medicine Podiatrist: Definition to come...
2 other providers at this address
About NPI 1174295562
Tanner Memorial Clinic's National Provider Identifier is 1174295562, issued on Oct 4, 2021. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Layton, UT. The record was last updated on Oct 4, 2021.