Individual
DR. DUANE LEE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
914 FORT UNION BLVD, MIDVALE, UT 84047-1714
(801) 561-4282
(801) 561-4283
Mailing address
914 FORT UNION BLVD, MIDVALE, UT 84047-1714
(801) 561-4282
(801) 561-4283
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1130919934
UT
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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