Provider Demographics
NPI:1497906085
Name:TARR, MICHAEL H (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:H
Last Name:TARR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:744 SAN ANTONIO RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-4632
Mailing Address - Country:US
Mailing Address - Phone:650-493-8655
Mailing Address - Fax:650-493-8657
Practice Address - Street 1:744 SAN ANTONIO RD
Practice Address - Street 2:SUITE 10
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-4632
Practice Address - Country:US
Practice Address - Phone:650-493-8655
Practice Address - Fax:650-493-8657
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor