Individual
JEFFREY S TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2149 W 24TH ST, YUMA, AZ 85364-6136
(928) 726-4120
(928) 341-0315
Mailing address
2610 E UNIVERSITY DR, MESA, AZ 85213-8436
(480) 892-8400
(480) 892-9533
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37839
AZ
Other
Enumeration date
03/08/2006
Last updated
01/07/2008
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