George Tanner, CPO

NPI #1427241199 in Monroe, New York

Provider Information

NPI Number: 1427241199
Entity Type: Individual
Name: George Tanner, CPO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: CPO
Enumeration Date: Aug 24, 2007
Last Updated: Aug 24, 2007

Practice Location

Address: 400 STATE ROUTE 17M
Address 2: SUITE 10A
City: Monroe
State: New York
ZIP Code: 10950-4415
Phone: (845) 782-9191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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