MEDICARE: DR. TAMMY LYNN DANN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	34.010918	OH
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	34.010918	OH

General Provider Information

NPI Number	:	1932361573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMMY LYNN DANN D.O.

Provider Business Mailing Address
First Line	:	1550 YANKEE PARK PL
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1868
Country	:	US
Telephone Number	:	937-439-4949
Fax Number	:	937-439-4948

Provider Business Practice Location Address
First Line	:	1550 YANKEE PARK PL
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1868
Country	:	US
Telephone Number	:	937-439-4949
Fax Number	:	937-439-4948

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2008
Last Update Date	:	02/05/2024

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