Gregory Tennant D.O.

NPI 1073581385 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1073581385
Gender Male
Enumeration Date 03/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9985 SIERRA AVE
SCPMG, DEPT ORTHOPEDICS
FONTANA CA, 92335-6720, US
Phone (909) 427-5000
Fax
Business Location
511 NARCISSUS AVE
UNIT B
CORONA DEL MAR CA, 92625-2416, US
Phone (949) 439-8001
Fax
Toxanomy
Taxonomy Code 207X00000X
License State California
License Number 20A9121
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According to our database, Dr. Gregory Tennant D.O. NPI is 1073581385, taxonomy code is 207X00000X and license number is 20A9121, license state is located at California. Gregory Tennant D.O. physically located at 9985 Sierra Ave, Fontana CA, 92335-6720. NPI Number Gregory Tennant D.O. has the Individual type.

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1073581385 NPI number is provided on an as is basis without warranty of any kind. 1073581385 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Tennant D.O. are for informational purposes only.