Individual
CRAIG M TAMBATAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16064 W WILLIAMS ST, GOODYEAR, AZ 85338-3494
(623) 202-6413
Mailing address
14780 W MOUNTAIN VIEW BLVD, STE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
(855) 420-6361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7071
AZ
Other
Enumeration date
04/27/2018
Last updated
07/23/2018
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