| Doctor Name: | DR. JAMES TENNEY |
| NPI Number: | 1336295948 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | C32118 |
| Business Practice Address: | 85 Sierra Park Rd Mammoth Lakes, CA - 935460660 |
| Business Phone Number: | 7609244090 |
| Business Fax Number: | 7609244091 |
| Mailing Address: | Po Box 660, 85 Sierra Park Rd MAMMOTH LAKES |
| State: | CA |
| Postal Code: | 935460660 |
| Phone Number: | 7609244090 |
| Fax Number: | 7609244094 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | C32118 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |