Healthcare Provider Details

I. General information

NPI: 1972630085
Provider Name (Legal Business Name): ARTURO A TENORIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 12/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 N COLLEGE ST
ALBANY MO
64402-1433
US

IV. Provider business mailing address

705 N COLLEGE ST
ALBANY MO
64402-1433
US

V. Phone/Fax

Practice location:
  • Phone: 660-726-3941
  • Fax:
Mailing address:
  • Phone: 660-726-3941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR8525
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: