| Doctor Name: | BRADFORD GIBSON TENNEY |
| NPI Number: | 1043599814 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 14520 W Granite Valley Dr Suite 210 Sun City West, AZ - 853755855 |
| Business Phone Number: | 6235375600 |
| Business Fax Number: | 8669392673 |
| Mailing Address: | 18444 N 25th Ave, Suite 310 PHOENIX |
| State: | AZ |
| Postal Code: | 850231261 |
| Phone Number: | 6235375600 |
| Fax Number: | 8669392673 |
| NPI Enumeration Date: | 08/11/2011 |
| NPI Last Update Date: | 01/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |