Individual provider · Type 1 NPI

Brad Tanner, PA

Vascular Surgery Physician · Murray, UT

NPI number 1831407147 Active

Practice location

5323 Woodrow St Ste 102
Murray, UT 84107-5853

Call (801) 913-1010 Map

Fax (801) 262-3897

Mailing address

5444 South Green Street
Murray, UT 84123

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X7777106-1206 (UT)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1831407147

Brad Tanner, PA's National Provider Identifier is 1831407147, issued on Sep 21, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Murray, UT. The record was last updated on Sep 21, 2010.