Individual
PHILIP MASAO TAMANAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 HOSPITAL DR, UKIAH, CA 95482-4531
(707) 463-7626
Mailing address
PO BOX 803, UKIAH, CA 95482-0803
(707) 463-7626
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G36733
CA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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