License Verification

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TANNER DAVID MILES

License Number: ME144233

Data As Of 11/22/2024

Profession
Medical Doctor
License
ME144233
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
02/18/2020
Address of Record
1303 N Main St
CEDAR CITY, UT 84721
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date
ANTENUCCI, NICOLE MARIE Prescribing Physician Assistant Physician Assistant 9109691 6/21/2020
BAGGETT, MATTHEW Prescribing Physician Assistant Physician Assistant 9108973 6/21/2020
CHANG, JAMIE ANNETTE Prescribing Physician Assistant Physician Assistant 9109014 6/21/2020
KIRKLAND, LAUREN MARIE Prescribing Physician Assistant Physician Assistant 9106295 6/21/2020
MARSHALL, BRENT THOMAS Prescribing Physician Assistant Physician Assistant 9109612 6/21/2020
MCCONAGHY, ADRIENNE NICOLE Prescribing Physician Assistant Physician Assistant 9109671 6/21/2020

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Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



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** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


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