NPI 1104080993
William Robert Tanner, OD
Practice location
- Address
- 3450 N Glassford Hill Rd, Prescott Valley, AZ 86314
- Phone
- (928) 499-3152
- Fax
- (928) 775-6292
- Mailing address
- 3450 N Glassford Hill Rd, Prescott Valley, AZ 86314-1351
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1104080993
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jul 2008
- Record last updated
- 31 Jul 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.