David Tennant

NPI #1114345584 in Peoria, Illinois

Provider Information

NPI Number
1114345584
Entity Type
Individual
Name
David Tennant
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Enumeration Date
Apr 2, 2014
Last Updated
May 17, 2018

Practice Location

Address
5409 N KNOXVILLE AVE
City
Peoria
ZIP Code
61614
Phone
(309) 691-1000

Specialties & Taxonomy Codes

Specialty
Family Medicine

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