Individual provider · Type 1 NPI

Matthew Tanner

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1356876239 Active

Practice location

530 S Wakara Way
Salt Lake City, UT 84108-1213

Call (801) 587-2162 Map

Mailing address

1657 24th Pl NE
Issaquah, WA 98029-2638

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356876239

Matthew Tanner's National Provider Identifier is 1356876239, issued on Apr 27, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 27, 2017.