Individual
MR. SAMSTEVE B OMBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 E MISHAWAKA RD LOT 13, ELKHART, IN 46517-2394
(574) 322-8520
Mailing address
855 E MISHAWAKA RD LOT 13, ELKHART, IN 46517-2394
(574) 322-8520
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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