Individual
DAVID P. COMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001367A
IN
363A00000X
Physician Assistant
Primary
50003397RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000676851
ANTHEM
—
05
—
0111099
—
OH
05
—
OPR
—
IN
Enumeration date
11/08/2011
Last updated
06/11/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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