DR. John R Tanner, OD

NPI #1255337911 in Peoria, Arizona

Provider Information

NPI Number: 1255337911
Entity Type: Individual
Name: DR. John R Tanner, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 27, 2005
Last Updated: Sep 30, 2014

Practice Location

Address: 18431 N 91ST AVE
Address 2: SUITE 1
City: Peoria
State: Arizona
ZIP Code: 85382-0817
Phone: (623) 933-6586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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