Provider Demographics
NPI:1831250729
Name:BARKER, TAMRA LEE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:TAMRA
Middle Name:LEE
Last Name:BARKER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 3RD ST # 73381
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-4519
Mailing Address - Country:US
Mailing Address - Phone:650-388-0528
Mailing Address - Fax:
Practice Address - Street 1:424 3RD ST # 73381
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4519
Practice Address - Country:US
Practice Address - Phone:650-388-0528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA613462083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine