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Individual
DR. STEPHEN LEE MCCOMBS
Active
Individual
DR. STEPHEN LEE MCCOMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4164
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349J8MC
BCBS
MN
01
—
649097
GREAT WEST
MN
01
—
71-0920535
PREFERRED PROVIDER ORGANIZATION
MN
01
—
CC1034A
PATIENT CHOICE
MN
Enumeration date
12/13/2006
Last updated
08/07/2008
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