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Individual

MR. PETER C KOMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
3622 BELMONT AVE, SUITE 1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Mailing address
3622 BELMONT AVE, SUITE 1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA 11297 NA
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11297-NA
COA
OH
01
301183 COA1
RN
OH
05
3022455
OH
Enumeration date
01/21/2010
Last updated
05/24/2012
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