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Individual

CHRISTOPHER THOMAS COOMBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R42109
ND
367500000X
Certified Registered Nurse Anesthetist
Primary
R42109
ND

Other

Enumeration date
06/03/2021
Last updated
07/30/2021
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