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Paul Benjamin Tanner, MBA,CCA
Anaplastologist in Bountiful, Utah
NPI 1760607428

Paul Benjamin Tanner is an Anaplastologist based in Bountiful, UT. Paul Benjamin Tanner practices in Bountiful, UT and has the professional credentials of MBA,CCA. The NPI Number for Paul Benjamin Tanner is 1760607428 and holds a License No. (Utah).

The current practice location address for Paul Benjamin Tanner is 1455 S 500 W Ste D, Bountiful, UT and can be reached out via phone at 801-997-0545 and via fax at 888-977-5399.

Location: 1455 S 500 W Ste D, Bountiful, UT, 84010-6605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760607428
Provider Name
Paul Benjamin Tanner
Credential
MBA,CCA
Provider Entity Type
Individual
Gender
Male
Address
1455 S 500 W Ste D, Bountiful, UT, 84010-6605
Phone Number
801-997-0545
Fax Number
888-977-5399
Provider Enumeration Date
04/16/2007
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1455 S 500 W Ste D
City
Bountiful
State
Utah
Zip
84010-8252
Phone Number
801-997-0545
Fax Number
888-977-5399
person
Provider Business Mailing Address Details
Address
1455 S 500 W Ste D
City
Bountiful
State
Utah
Zip
84010-8252
Phone Number
801-997-0545
Fax Number
888-977-5399
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
156FX1700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Anaplastologist
Speciality
-
Taxonomy
229N00000X
License No.
()
Definition
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
person
Provider's Taxonomy Details 4
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Art, Medical
Taxonomy
246ZA2600X
License No.
()
Definition
Definition to come...
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