Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER WINGER
ActiveTANNER WINGER is a Surgical Physician Assistant healthcare provider located in LOGAN, Utah. NPI 1497370456 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LOGAN, UT
Registration Details
- NPI Number
- 1497370456
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2020 (6.207169730388 yrs)
- Last Updated
- Oct 13, 2021
- License
-
12485839-1206 (UT)
Practice Information
- Address
-
2310 N 400 E STE ALOGAN, UT, 843411796Browse UT providers · Browse ZIP 84341
- Phone
- 4357872000
- Fax
- 4357871913
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
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.