Individual
DR. TAMMY A O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 8TH AVE SE, CEDAR RAPIDS, IA 52401-2134
(319) 364-8704
(319) 365-7747
Mailing address
500 8TH AVE SE, CEDAR RAPIDS, IA 52401-2134
(319) 364-8704
(319) 365-7747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31465
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170308
—
IA
01
—
42808
BLUE CROSS BLUE SHIELD
IA
Enumeration date
11/04/2006
Last updated
07/25/2023
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