Individual
TAMMY CLARK OJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-6114
(520) 626-1048
Mailing address
1501 N CAMPBELL AVE, PO BOX 245030, TUCSON, AZ 85724-0001
(520) 626-6114
(520) 626-1048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301061704
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301061704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3293819
—
MI
01
—
52023
ARIZONA MEDICAL LICENSE
AZ
Enumeration date
10/20/2006
Last updated
05/27/2016
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