Individual
RANA O TENORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2364
(417) 820-7136
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R6J21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168075001
—
MO
05
—
202733416
—
MO
01
—
P00302537
RR MEDICARE
—
01
—
P00440179
RR MEDICARE PROVIDER #
MO
Enumeration date
04/14/2006
Last updated
02/02/2009
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