Individual
DR. CLARISA C. HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
20A10466
CA
208600000X
Surgery Physician
34009035
OH
208600000X
Surgery Physician
H75038
MD
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0102203916
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A104660
BLUE SHIELD PROVIDER NUMBER
CA
05
—
2760007
—
OH
05
—
334516500
—
MD
Enumeration date
03/30/2007
Last updated
05/12/2020
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