Individual
MARK A TENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8300 CARMEL AVE NE BLDG 5, ALBUQUERQUE, NM 87122-3147
(505) 717-1274
(505) 717-1879
Mailing address
8300 CARMEL AVE NE BLDG 5, ALBUQUERQUE, NM 87122-3147
(505) 717-1274
(505) 717-1879
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD398
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006587
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67177760
—
NM
Enumeration date
07/02/2014
Last updated
03/26/2024
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