Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner Memorial Clinic

Organization Gastroenterology Physician · NPI 1609406511

Tanner Memorial Clinic is a Gastroenterology Physician in Ogden, Utah. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

6028 S Ridgeline Dr Ste 201
Ogden, UT 84405-6908
Phone: (801) 773-4840
Fax: (801) 525-8151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1609406511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Spainhower — Business Services Director · (801) 525-8726
NPI enumeratedJanuary 20, 2020
Last updated in NPPESJanuary 20, 2020
Certification dateJanuary 20, 2020
Mailing addressPo Box 337, Layton, UT 84041-0337

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