MR. Tanner Lee Frey, PHYSICIAN ASSISTANT

NPI #1164909479 in Provo, Utah

Provider Information

NPI Number: 1164909479
Entity Type: Individual
Name: MR. Tanner Lee Frey, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Jul 19, 2018
Last Updated: Jul 13, 2019

Practice Location

Address: 1034 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3380
Phone: (801) 358-1076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X
Physician Assistant	363A00000X	Primary

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