Individual
COURTNEY ANN CLAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 BICENTENNIAL WAY, MOB 1, 2ND FLOOR, TPMG ADMINISTRATION - PHYSICIAN HR, SANTA ROSA, CA 95403-2149
(707) 393-4187
(707) 393-2196
Mailing address
401 BICENTENNIAL WAY, MOB 1, 2ND FLOOR, TPMG ADMINISTRATION - PHYSICIAN HR, SANTA ROSA, CA 95403-2149
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2015-00583
NC
207P00000X
Emergency Medicine Physician
Primary
A118338
CA
Other
Enumeration date
09/22/2010
Last updated
01/10/2022
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