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Individual

MR. TOMMY DEAN HAMMERBECK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SA-C/CST

Contact information

Practice address
4372 ROUTE 6, KANE, PA 16735-3060
(814) 837-8585
Mailing address
PO BOX 283, 35 CHURCH STREET, LUDLOW, PA 16333-0283
(814) 945-6350

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
363AS0400X
Surgical Physician Assistant
Primary
07-263 SA-C
PA

Other

Enumeration date
09/26/2007
Last updated
10/18/2007
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