MRS. Carol Sue Tanner, PA-C

NPI #1386857829 in Springville, Utah

Provider Information

NPI Number: 1386857829
Entity Type: Individual
Name: MRS. Carol Sue Tanner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 8, 2007
Last Updated: Nov 8, 2020

Practice Location

Address: 672 W 400 S STE 201
City: Springville
State: Utah
ZIP Code: 84663-3170
Phone: (801) 369-8989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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