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Individual
RICHARD TENNANT
Active
Individual
RICHARD TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
UO5342
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
72454-21
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
DR.0066699
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL0006255
CO
Other
Enumeration date
06/09/2016
Last updated
06/29/2021
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