Individual
DAVID P. COMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2600 N LIMESTONE ST FL 2, SPRINGFIELD, OH 45503
(937) 523-9850
(937) 523-9859
Mailing address
2600 N LIMESTONE ST FL 2, SPRINGFIELD, OH 45503-1114
(934) 523-9850
(937) 523-9859
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
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