Provider Demographics
NPI:1811944176
Name:WOO, TAMMY S (PA)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:S
Last Name:WOO
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1630 E HERNDON AVE
Mailing Address - Street 2:SUITE #303
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3305
Mailing Address - Country:US
Mailing Address - Phone:559-446-1000
Mailing Address - Fax:559-446-1527
Practice Address - Street 1:1630 E HERNDON AVE
Practice Address - Street 2:SUITE #303
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3305
Practice Address - Country:US
Practice Address - Phone:559-446-1000
Practice Address - Fax:559-446-1527
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA18307363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1071108OtherNATL COMM ON CERT OF PAS
1071108OtherNATL COMM ON CERT OF PAS