Individual
GRACE A MCCOMSEY
Active
Individual
GRACE A MCCOMSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35-064769
OH
207RI0200X
Infectious Disease Physician
35064769
OH
2080P0208X
Pediatric Infectious Diseases Physician
35-064769
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130923
—
OH
05
—
1018891060001
—
PA
01
—
90012007
MCR RR
—
Enumeration date
07/15/2006
Last updated
07/06/2011
Update your record
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