Individual
TANNER HARSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 524-2273
Mailing address
595 FOX RUN CIR, COLORADO SPRINGS, CO 80921-3045
(402) 269-8872
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1658
NE
Other
Enumeration date
05/10/2024
Last updated
10/04/2024
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