Brad Tanner, PA Valid NPI
Individual provider · Vascular Surgery Physician · Murray, UT
- NPI
- 1831407147
- Type
- Individual (Type 1)
- Primary specialty
- Vascular Surgery Physician (Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2086S0129X
- License number
- 7777106-1206 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-09-21
- Last updated
- 2010-09-21
Practice location
5323 Woodrow St Ste 102
Murray, UT 84107-5853
(801) 913-1010