Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRAIG M TAMBATAMBA, PA-C
Active Sole ProprietorCRAIG M TAMBATAMBA, PA-C is a Physician Assistant healthcare provider located in GOODYEAR, Arizona. NPI 1639667405 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GOODYEAR, AZ
Registration Details
- NPI Number
- 1639667405
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2018 (8.2833331974575 yrs)
- Last Updated
- Jul 23, 2018
- License
-
7071 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16064 W WILLIAMS STGOODYEAR, AZ, 853383494Browse AZ providers · Browse ZIP 85338
- Phone
- 6232026413
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GOODYEAR, AZ
| Name | Credential | NPI |
|---|---|---|
| KEITH D WINTERS | PA-C | 1558334243 |
| MRS. REINA MARIA OCASIO | PA-C | 1932177748 |
| SHANNON M. HOGAN | PA-C | 1801865845 |
| MRS. LORI LYNNE HARDACKER | PA | 1780612952 |
| DIANA HOULE | P.A. | 1992815450 |
| MRS. KELLI ANN MERCADO | PA | 1255426870 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.