Individual
AUSTEN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 938-2677
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 938-2677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010923
IL
Other
Enumeration date
11/19/2015
Last updated
04/03/2018
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