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Individual

DR. JOHN W. TAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
222 E ROUTE 66, GLENDORA, CA 91740-6241
(626) 914-4661
(626) 335-1840
Mailing address
222 E ROUTE 66, GLENDORA, CA 91740-6241
(626) 914-4661
(626) 335-1840

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2153
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GRE001090
CA
Enumeration date
08/18/2005
Last updated
01/21/2011
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