Individual
DR. NATHAN DANIEL COMSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7910 W JEFFERSON BLVD STE 110, FORT WAYNE, IN 46804-4159
(260) 436-4116
(260) 459-2504
Mailing address
7910 W JEFFERSON BLVD STE 110, FORT WAYNE, IN 46804-4159
(260) 436-4116
(260) 459-2504
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01070963A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201063140
—
IN
Enumeration date
07/17/2008
Last updated
07/10/2012
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