DR. William Tantum, O.D.

NPI #1316350291 in Maryville, Tennessee

Provider Information

NPI Number: 1316350291
Entity Type: Individual
Name: DR. William Tantum, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 9, 2014
Last Updated: Jun 9, 2014

Practice Location

Address: 1732 W BROADWAY AVE
City: Maryville
State: Tennessee
ZIP Code: 37801-5510
Phone: (865) 982-6761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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