Provider Demographics
NPI:1013284827
Name:TAMBURRO, RAYMOND MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:MICHAEL
Last Name:TAMBURRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1100 SALISBURY CT APT 1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-1786
Mailing Address - Country:US
Mailing Address - Phone:234-600-0777
Mailing Address - Fax:
Practice Address - Street 1:1010 4TH ST SW STE 340
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2856
Practice Address - Country:US
Practice Address - Phone:641-428-7766
Practice Address - Fax:641-428-7788
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-22
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1076225200000X
OHPTA 06459225200000X
IAR-12999207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant