Individual
JEFFREY P WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 HOSPITAL LOOP, CRAIG, CO 81625-8750
(970) 826-2420
(970) 826-2429
Mailing address
750 HOSPITAL LOOP, CRAIG, CO 81625-8750
(970) 826-2420
(970) 826-2429
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
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