SearchArizona175F00000X

Mark Tenborg, NMD

NPI 1063888139 · on the registry since 2015 · sole proprietor

Practice

Address
9967 E Fortuna Ave
Gold Canyon, AZ 85118
Phone
(480) 983-2694

Registry record

Primary taxonomy
175F00000X
175F00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona