Doctor Name: | TAMMY ELIZABETH SERVIES |
NPI Number: | 1326028580 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 01059789A |
Business Practice Address: | 385 South Avenue Bldg 618 Nepmu 6 Jbphh, HI - 96860 |
Business Phone Number: | 8084710237 |
Business Fax Number: | |
Mailing Address: | 385 South Avenue Bldg 618, Nepmu 6 JBPHH |
State: | HI |
Postal Code: | 96860 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/21/2006 |
NPI Last Update Date: | 08/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01059789A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |