Tammi Elaine Groom PA-C

NPI 1952472151 - Physician Assistant - 363A00000X

NPI Details
NPI 1952472151
Gender Female
Enumeration Date 11/11/2006
Last Updated 06/11/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
255 N HERWALDT DR
FRESNO CA, 93701-2186, US
Phone (559) 459-7300
Fax (559) 459-3750
Business Location
2625 E DIVISADERO ST
FRESNO CA, 93721-1431, US
Phone (559) 443-2682
Fax (559) 443-2681
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA13937
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According to our database, Tammi Elaine Groom PA-C NPI is 1952472151, taxonomy code is 363A00000X and license number is PA13937, license state is located at California. Tammi Elaine Groom PA-C physically located at 255 N Herwaldt Dr, Fresno CA, 93701-2186. NPI Number Tammi Elaine Groom PA-C has the Individual type.

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1952472151 NPI number is provided on an as is basis without warranty of any kind. 1952472151 is maintained by the National Plan & Provider Enumeration System. The contents of Tammi Elaine Groom PA-C are for informational purposes only.