person
Tanner Winger
Surgical Physician Assistant in Logan, Utah
NPI 1497370456

Tanner Winger is a Surgical Physician Assistant based in Salt Lake City, UT and is specialized in Surgical. Tanner Winger practices in Logan, UT. The NPI Number for Tanner Winger is 1497370456 and holds a License No. 12485839-1206 (Utah).

The current practice location address for Tanner Winger is 2310 N 400 E Ste A, Logan, UT and can be reached out via phone at 435-787-2000 and via fax at 435-787-1913.

Location: 2310 N 400 E Ste A, Logan, UT, 84130-0015
person
Provider Profile Details
NPI Number
1497370456
Provider Name
Tanner Winger
Credential
Provider Entity Type
Individual
Gender
Male
Address
2310 N 400 E Ste A, Logan, UT, 84130-0015
Phone Number
435-787-2000
Fax Number
435-787-1913
Provider Enumeration Date
06/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12485839-1206 01 UT LICENSE
institution
Provider Business Practice Location Address Details
Address
2310 N 400 E Ste A
City
State
Zip
84341-1796
Phone Number
435-787-2000
Fax Number
435-787-1913
person
Provider Business Mailing Address Details
Address
2310 N 400 E Ste A
City
State
Zip
84341-1796
Phone Number
435-787-2000
Fax Number
435-787-1913
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
12485839-1206 (Utah)
Definition
Definition to come...
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