Individual
BRUCE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9068 ONEIDA RIVER PARK DR, CLAY, NY 13041-9625
(315) 436-5699
(315) 409-4156
Mailing address
9068 ONEIDA RIVER PARK DR, CLAY, NY 13041-9625
(315) 436-5699
(315) 409-4156
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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