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NPI Code Detail

MEDICARE: TENEY JOHN MD

MEDICARE: TENEY JOHN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician27754OK

General Provider Information

NPI Number : 1932429131
Entity Type Code : Individual
Provider Name (Legal Business Name) : TENEY JOHN MD
Provider Business Mailing Address
First Line : 1202 NW ARLINGTON AVE
Second Line :
City : LAWTON
State : OK
Zip : 73507-6537
Country : US
Telephone Number : 580-248-2288
Fax Number :
Provider Business Practice Location Address
First Line : 1202 NW ARLINGTON AVE
Second Line :
City : LAWTON
State : OK
Zip : 73507-6537
Country : US
Telephone Number : 580-248-2288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2010
Last Update Date : 06/10/2010

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Directions to “ TENEY JOHN MD” Practice Location

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