Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G63157 | CA |
NPI | 1134181480 |
---|---|
Provider Name | C Andrew Combs |
First Address | Campbell, CA 95008-0665 |
Second Address | Campbell, CA 95008-0664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 08/07/2007 |