SearchArizona363A00000X

Craig Tambatamba, PA-C

NPI 1639667405 · on the registry since 2018 · sole proprietor

Practice

Address
16064 W Williams St
Goodyear, AZ 85338
Phone
(623) 202-6413

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona