Provider Demographics
NPI:1710791116
Name:PALMER, TOMMY L
Entity type:Individual
Prefix:
First Name:TOMMY
Middle Name:L
Last Name:PALMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11422
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85734-1422
Mailing Address - Country:US
Mailing Address - Phone:520-820-2690
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 11422
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85734-1422
Practice Address - Country:US
Practice Address - Phone:520-820-2690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health