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Organization
DOUGLAS R. COOMBS, MD, INC
Active
Organization
DOUGLAS R. COOMBS, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS R. COOMBS M.D. (OWNER)
(801) 292-1464
Entity
Organization
Contact information
Practice address
520 MEDICAL DR, #301, BOUNTIFUL, UT 84010-4968
(801) 292-1464
(801) 292-1465
Mailing address
520 MEDICAL DR, #301, BOUNTIFUL, UT 84010-4968
(801) 292-1464
(801) 292-1465
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529604565035
—
UT
Enumeration date
02/08/2012
Last updated
02/08/2012
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