# DKMCOMBER CLINICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restorative Neurology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023500360
- **Authorized official:** DAVID KENNETH MCOMBER ACNP (DIRECTOR)
- **Authorized official phone:** (801) 870-0329

## Contact information

- **Practice address:** 250 N FAIRGROUNDS RD, STE 2, PRICE, UT 84501-4201
- **Practice address phone:** (801) 870-0329
- **Mailing address:** PO BOX 362, PRICE, UT 84501-0362
- **Mailing address phone:** (435) 613-0733
- **Mailing address fax:** (435) 613-0732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | 378942-4405 | UT | Yes |

## Other

- **Enumeration date:** 06/02/2018
- **Last updated:** 08/06/2021