Individual
CHARLES MILTON COMBS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3035 E VERNON ST, GILBERT, AZ 85298-8757
(480) 522-0260
Mailing address
3035 E VERNON ST, GILBERT, AZ 85298-8757
(480) 522-0260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
240573
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TEMP240573
STATE ISSUED LICENSE
AZ
Enumeration date
04/22/2020
Last updated
03/19/2023
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