JAMES A TAMMARO MD PC
Suppliers at Capri Blvd, Lake Havasu City, AZ

License number
Arizona 05-08778
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: JAMES A TAMMARO MD
Title: OWNER
Phone: (928) 855-9477
Address
Address
40 Capri Blvd SUITE 102, Lake Havasu City, AZ 86403
National Provider ID: 1225000466
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAMES A. TAMMARO, M.D., PC

Lake Havasu City, AZ

Industry:
Medical Doctor's Office
Registration:
Oct 11, 1977
Addresses:
40 Capri Blvd #102, Lake Havasu City, AZ 86403 (Physical)
40 Capri, Lake Havasu City, AZ 86403
State ID:
-0112320-0
Expiration:
PERPETUAL
Owner, Principals:
James A Tammaro Md (President), 40 Capri Blvd #102, Lake Havasu City, AZ 86403 (Physical),James Tammaro (Owner, Principal)
Agent:
James A Tammaro,40 Capri Blvd #102, Lake Havasu City, AZ 86403 (Physical)

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