Mark Anthony Tenn is a Medical in Luke Afb, Arizona. Mark Anthony Tenn practices all healthcare services and medical treatments related to Medical. The NPI Number for Mark Anthony Tenn is 1952378259. The last update date is 2023-06-27.
Mark Anthony Tenn's current location address is 7219 N Litchfield Rd, Luke Afb, Arizona. You can contact this provider via phone number 6238569830 and fax number 6238564157. The mailing address for Mark Anthony Tenn is 7219 N Litchfield Rd, Luke Afb, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Anthony Tenn |
|---|---|
| Address | 7219 N Litchfield Rd, Luke Afb, Arizona |
| Phone Number | 6238569830 |
| Fax Number | 6238564157 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1952378259 |
|---|---|
| Provider Enumeration Date | 2006-03-06 |
| Last Updated Date | 2023-06-27 |
Provider Mailing Address Detail
| Address | 7219 N Litchfield Rd |
|---|---|
| City | Luke Afb |
| State | Arizona (AZ) |
| Post Code | 853091529 |
| Phone Number | 6238569830 |
| Fax Number | 6238564157 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code issued to Mark Anthony Tenn by the Centers for Medicare & Medicaid Services?
The Mark Anthony Tenn has been assigned the NPI (National Provider Identifier) 1952378259 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mark Anthony Tenn's physical address?
The Mark Anthony Tenn is physically located at 7219 N Litchfield Rd, in the city of Luke Afb, AZ, with the postal code 853091529.
What is the Mark Anthony Tenn's area of specialization and corresponding taxonomy classification?
The Mark Anthony Tenn's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
When did Mark Anthony Tenn receive its 1952378259 assignment?
The Mark Anthony Tenn was assigned its 1952378259 on 2006-03-06, which is the date when this unique identifier was issued to the organization.
As of what date were the Mark Anthony Tenn's details last updated?
The information pertaining to the Mark Anthony Tenn, including its address, specialty, and other details, was most recently updated on 2023-06-27.
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