Individual
BRYCE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
140 NORTH MARKET ST, CORTEZ, CO 81321
(970) 565-2020
(970) 565-3632
Mailing address
PO BOX 820, CORTEZ, CO 81321-0820
(970) 565-2020
(970) 565-3632
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2803
CO
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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