Individual
EUGENE M TENORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E PRIMROSE ST, SUITE 200, SPRINGFIELD, MO 65807-5154
(417) 269-1010
(417) 269-6755
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-1010
(417) 269-6755
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
R2P27
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
04-39612
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203023908
—
MO
01
—
31635
BLUE CROSS OF MO
—
Enumeration date
10/03/2006
Last updated
03/20/2017
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