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Individual

ANDREW CARRINGTON GOMBASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1600 E RIVERVIEW AVE, NAPOLEON, OH 43545-9805
(194) 592-1071
(194) 592-1076
Mailing address
1600 E RIVERVIEW AVE, NAPOLEON, OH 43545-9805
(419) 592-1071
(419) 592-1076

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004365G
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000260293
ANTHEM
OH
01
0109967
UNITED HEALTHCARE
05
0146765
OH
01
311155352
MEDIGOLD
OH
01
311155352
EMERALD HEALTH
01
311155352001
TRICARE
Enumeration date
08/25/2005
Last updated
01/23/2023
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