Individual
JEFFREY P WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45890
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38809559
—
CO
01
—
45890
STATE OF COLORADO MEDICAL
CO
Enumeration date
08/24/2007
Last updated
01/20/2022
Update your record
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