Individual provider · Type 1 NPI
Paul Benjamin Tanner, MBA, CCA
Anaplastologist · Bountiful, UT
Practice location
1455 S 500 W Ste D
Bountiful, UT 84010-8252
Fax (888) 977-5399
Mailing address
3474 S 100 E
Bountiful, UT 84010-6605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ocularist | 156FX1700X | None listed |
| Prosthetist | 224P00000X | None listed |
| Medical Art Specialist/Technologist | 246ZA2600X | None listed |
| Anaplastologist Primary | 229N00000X | None listed |
Anaplastologist: An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical…
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About NPI 1760607428
Paul Benjamin Tanner, MBA, CCA's National Provider Identifier is 1760607428, issued on Apr 16, 2007. The primary taxonomy on file is Anaplastologist (229N00000X), and the practice location is in Bountiful, UT. The record was last updated on Oct 31, 2024.