Organization
W. THOMAS COOMBE, MD , A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER THOMAS COOMBE MD (PHYSICIAN)
(928) 537-1042
Entity
Organization
Contact information
Practice address
2051 EVERGREEN LN, SUITE B, SHOW LOW, AZ 85901-7928
(928) 537-1042
(928) 537-1082
Mailing address
PO BOX 3409, PAYSON, AZ 85547-3409
(928) 468-9280
(928) 468-9280
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36942
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218514
—
AZ
Enumeration date
07/13/2007
Last updated
09/25/2008
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