Whalio Doctors

NPI 1760607428

Paul Benjamin Tanner, MBACCA

Practitioner Anaplastologist Bountiful, UT

Practice location

Address
1455 S 500 W STE D, Bountiful, UT 84010-8252
Phone
(801) 997-0545
Fax
(888) 977-5399
Mailing address
3474 S 100 E, Bountiful, UT 84010-6605

Registered specialties (4)

Anaplastologist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 229N00000X
Ocularist
Eye and Vision Services Providers Taxonomy 156FX1700X
Prosthetist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X
Medical Art Specialist/Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZA2600X

Registry record

NPI
1760607428
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Apr 2007
Record last updated
31 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.