Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD60030905 | WA |
NPI | 1073687539 |
---|---|
Provider Name | Dr. William Arnold Combs |
First Address | Prosser, WA 99350-1524 |
Second Address | Prosser, WA 99350-1524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 10/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G204290 | (05) | CA |
040016401 | MEDICARE RAILROAD (01) | CA |
516502609 | COMMERICAL INSURANCE (01) | CA |
A40928 | (02) | |
A40928 | (02) | CA |