Organization
KENTROMED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TENEY B KENTRO M.D. (OWNER)
(520) 297-1803
Entity
Organization
Contact information
Practice address
6130 N LA CHOLLA BLVD STE 117, TUCSON, AZ 85741-3589
(520) 297-1803
(520) 530-0128
Mailing address
PO BOX 36210, TUCSON, AZ 85740-6210
(520) 297-1803
(520) 531-0128
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25062
AZ
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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