Provider Demographics
NPI:1871754986
Name:BATTLE, TAMARA J (MD)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:J
Last Name:BATTLE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1235 OSOS ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-3619
Mailing Address - Country:US
Mailing Address - Phone:805-549-0888
Mailing Address - Fax:805-549-8463
Practice Address - Street 1:1235 OSOS ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-3619
Practice Address - Country:US
Practice Address - Phone:805-549-0888
Practice Address - Fax:805-549-8463
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
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Provider Licenses
StateLicense IDTaxonomies
CAA857962080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine