Individual
DR. WILLIAM ROBERT TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3450 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314
(928) 499-3152
(928) 775-6292
Mailing address
3450 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314-1351
(928) 499-3152
(928) 775-6292
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1959
AZ
Other
Enumeration date
07/11/2008
Last updated
07/31/2019
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