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Individual

MR. MARK ANTHONY TENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-9830
(623) 856-4157
Mailing address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-9830
(623) 856-4157

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
03/06/2006
Last updated
06/27/2023
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