Individual
MR. DOUGLAS J OMBONGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-1000
Mailing address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
622290
PA
Other
Enumeration date
08/04/2009
Last updated
06/04/2021
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