Individual
NICHOLAS MCCOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8472
(888) 796-3789
Mailing address
2150 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8472
(888) 796-3789
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11239A
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160947378
DRIVER LICENSE
UT
Enumeration date
11/10/2014
Last updated
11/10/2014
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