Individual
MARK MCCOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7900
Mailing address
PO BOX 633390, CINCINNATI, OH 45263-3390
(800) 594-1876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000205
OH
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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