John R Tanner Od Pllc

NPI #1437582152 in Peoria, Arizona

Provider Information

NPI Number: 1437582152
Entity Type: Organization
Organization Name: John R Tanner Od Pllc
Primary Specialty: Optometrist
Enumeration Date: Aug 16, 2013
Last Updated: Aug 16, 2013

Practice Location

Address: 18431 N 91ST AVE
Address 2: STE 1
City: Peoria
State: Arizona
ZIP Code: 85382-0817
Phone: (219) 508-6465

Authorized Official

Name: DR. JOHN R TANNER, OD
Title: OWNER
Phone: (219) 508-6465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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