Organization
JERRY W TANNER M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY TANNER M.D. (PRESIDENT)
(402) 486-3132
Entity
Organization
Contact information
Practice address
1101 S 70TH ST, SUITE 200, LINCOLN, NE 68510-4293
(402) 486-3132
(402) 486-3187
Mailing address
1101 S 70TH ST, SUITE 200, LINCOLN, NE 68510-4293
(402) 486-3132
(402) 486-3187
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14880
NE
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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