Individual
GEORGE H DOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2125 COURT ST, REDDING, CA 96001-2531
(530) 242-5600
(530) 242-5605
Mailing address
2125 COURT ST, REDDING, CA 96001-2531
(530) 242-5600
(530) 242-5605
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G31077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G310770
—
CA
Enumeration date
07/26/2006
Last updated
04/15/2021
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