JASON TANNER

WICHITA, KS
NPI1063119576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
Additional Taxonomies224P00000X Prosthetist
Enumeration Date2023-02-14
Last Update Date2023-02-14
Business Address
Mr. JASON TANNER CPO
12911 E 21ST ST N
WICHITA, KS 67230-7408
Phone number: 316-630-8420
Mailing Address
Mr. JASON TANNER CPO
12911 E 21ST ST N
WICHITA, KS 67230-7408
Phone number: 316-630-8420
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