Individual
RICHARD TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7251 W 20TH ST UNIT K, GREELEY, CO 80634-4626
(970) 473-7900
(970) 473-7901
Mailing address
20280 N 59TH AVE STE 115-317, GLENDALE, AZ 85308-6850
(602) 795-8710
(602) 795-8701
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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