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

Dr. Peter Lee Tanner, MD

Individual provider Emergency Medicine Physician · NPI 1396957254

Dr. Peter Lee Tanner, MD is an Emergency Medicine in Roosevelt, Utah. Qualified in 2006, 20 years ago. Practices with Uintah Basin Medical Center, a 60-clinician group and accepts Medicare assignment. Licensed in Michigan and Utah.

Years since qualifying
20
Licensed in
MI, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

250 W 300 N
Roosevelt, UT 84066-2336
Phone: (435) 722-4691
Fax: (435) 722-9291
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 359620-1205 (UT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301088735 (MI)

Record details

NPI number1396957254
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address250 W 300 N, Roosevelt, UT 84066-2336

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Uintah Basin Medical Center — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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