Boyd D Tanner, PA.C

NPI #1932249539 in Provo, Utah

Provider Information

NPI Number: 1932249539
Entity Type: Individual
Name: Boyd D Tanner, PA.C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA.C
Enumeration Date: Feb 6, 2007
Last Updated: Dec 21, 2011

Practice Location

Address: 2230 N UNIVERSITY PKWY
Address 2: SUITE 1A
City: Provo
State: Utah
ZIP Code: 84604-1509
Phone: (801) 830-9486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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