Individual
TAMMY JOLENE PENHOLLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
005934
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
005934
AZ
Other
Enumeration date
01/07/2006
Last updated
09/08/2020
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