Provider Demographics
NPI:1578811337
Name:HAMER, RODMAN STANFORD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RODMAN
Middle Name:STANFORD
Last Name:HAMER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 CARRIAGE HILL COURT
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-2022
Mailing Address - Country:US
Mailing Address - Phone:805-681-9423
Mailing Address - Fax:
Practice Address - Street 1:501 CARRIAGE HILL COURT
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-2022
Practice Address - Country:US
Practice Address - Phone:805-681-9423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGFE5225207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine