Individual
DR. TENNEY BRAND KENTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7030 N STARDUST CIR, TUCSON, AZ 85718-1134
(520) 297-1803
(520) 268-8266
Mailing address
6336 N ORACLE RD # 326-344, TUCSON, AZ 85704-5480
(520) 297-1803
(520) 268-8266
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25062
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110145525
RAILROAD MEDICARE
AZ
01
—
404054
AHCCCS
AZ
01
—
AZ0803530
BC/BS OF ARIZONA
AZ
Enumeration date
04/17/2006
Last updated
11/03/2022
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