Individual
GARY ALFRED TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11800 ROCK LANDING DR, NEWPORT NEWS, VA 23606-4206
(757) 643-8800
(757) 643-8919
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101239537
VA
Other
Enumeration date
02/10/2006
Last updated
12/16/2015
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