Individual
DR. JUSTIN D COOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 603-8128
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.099677
OH
207P00000X
Emergency Medicine Physician
TP610
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.099677
STATE MEDICAL BOARD OF OHIO
OH
01
—
TP610
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
04/10/2009
Last updated
01/07/2021
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