Individual
BRUCE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101C SUNDIAL DR STE C, WOODLAND PARK, CO 80863-9095
(719) 687-3937
(719) 687-9308
Mailing address
101C SUNDIAL DR STE C, WOODLAND PARK, CO 80863-9095
(719) 687-3937
(719) 687-9308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3683
CO
Other
Enumeration date
07/07/2021
Last updated
05/13/2025
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