Individual
MR. TOMMY DEAN HAMMERBECK JR.
Active
Individual
MR. TOMMY DEAN HAMMERBECK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C/CST
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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