Jerry W Tanner M.d., P.c.

NPI #1801100375 in Lincoln, Nebraska

Provider Information

NPI Number
1801100375
Entity Type
Organization
Organization Name
Jerry W Tanner M.d., P.c.
Primary Specialty
Optometrist
Enumeration Date
Jul 27, 2010
Last Updated
Jul 27, 2010

Practice Location

Address
1101 S 70TH ST
Address 2
SUITE 200
ZIP Code
68510-4293
Phone
(402) 486-3132

Authorized Official

Name
JERRY TANNER, M.D.
Title
PRESIDENT
Phone
(402) 486-3132

Specialties & Taxonomy Codes

Specialty
Optometrist

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