Mortenson, Tanner Ross

Mortenson, Tanner Ross is an individual health care provider with primary practice located at 5505 S 900 E Ste 240 , Murray UT 84117-7210. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mortenson, Tanner Ross can be contacted via phone (801) 783-5011.

Contact Information

Primary practice address
5505 S 900 E Ste 240 Murray UT 84117-7210
Phone: (801) 783-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A17016 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12322379-1204 Utah

Profile Details

NPI number 1487188363
LBN Legal business name Mortenson, Tanner Ross
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2017
Last updated Jul 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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