Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A 5598 | CA |
N | 207Q00000X | Family Doctor | 20A 5598 | CA |
NPI | 1245234582 |
---|---|
Provider Name | Dr. Thomas Michael Mccombs |
First Address | American Canyon, CA 94503-4196 |
Second Address | American Canyon, CA 94503-4196 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 20/09/2012 |