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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TANNER LEE FREY, PHYSICIAN ASSISTANT

Active

Physician Assistant · PROVO, UT

Registration Details

NPI Number
1164909479
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2018 (7.7861010420036 yrs)
Last Updated
Jul 13, 2019
Licenses
1153249 (UT)
10931513-1206 (UT)

Practice Information

Address
1034 N 500 W
PROVO, UT, 846043380
Browse UT providers · Browse ZIP 84604
Phone
8013581076
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in PROVO, UT

Name Credential NPI
JEFFREY D PIERSON PA-C 1861490609
BRET D HILTON PA 1467451609
STEVEN R NIELSON PA 1184623217
JOHN ZACHARY PA 1871580829
JOHN A WHITEHEAD PA 1619935053
CORY NATHANAEL MILLER PA 1346298510
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.