Individual
TAMMIE KAY ARNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
160 STATION WAY UNIT 1633, ARROYO GRANDE, CA 93421-5083
(805) 202-8513
(805) 270-4337
Mailing address
160 STATION WAY UNIT 1633, ARROYO GRANDE, CA 93421-5083
(805) 202-8513
(805) 270-4337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A 10023
CA
207R00000X
Internal Medicine Physician
34006235
OH
208M00000X
Hospitalist Physician
Primary
20A10023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10787925
CAQH PROVIDER NUMBER
CA
05
—
2042800
—
OH
01
—
P00413734
MEDICARE RAILROAD
OH
Enumeration date
08/24/2005
Last updated
04/13/2017
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