Tammy J. Penhollow, Do, Pc

NPI 1275879017 - Clinic/Center - 261QP3300X

NPI Details
NPI 1275879017
Enumeration Date 12/26/2012
Last Updated 12/26/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name TAMMY JOLENE TAMMY
Position MEDICAL DIRECTOR
Phone (415) 567-1219
Fax
Practice Location
2000 VAN NESS AVE
SUITE 402
SAN FRANCISCO CA, 94109-3023, US
Phone (415) 567-1219
Fax
Business Location
2000 VAN NESS AVE
SUITE 402
SAN FRANCISCO CA, 94109-3023, US
Phone (415) 567-1219
Fax
Toxanomy
Taxonomy Code 261QP3300X
License State
License Number
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According to our database, Tammy J. Penhollow, Do, Pc NPI is 1275879017, taxonomy code is 261QP3300X Tammy J. Penhollow, Do, Pc physically located at 2000 Van Ness Ave, San Francisco CA, 94109-3023. NPI Number 1033115704 has the healthcare provider type.

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1275879017 NPI number is provided on an as is basis without warranty of any kind. 1275879017 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy J. Penhollow, Do, Pc are for informational purposes only.