Bruce Tanner

NPI #1952766040 in Clay, New York

Provider Information

NPI Number: 1952766040
Entity Type: Individual
Name: Bruce Tanner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Dec 16, 2015
Last Updated: Dec 16, 2015

Practice Location

Address: 9068 ONEIDA RIVER PARK DR
City: Clay
State: New York
ZIP Code: 13041-9625
Phone: (315) 436-5699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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