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Individual

MR. RICHARD THOMAS COMBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
MP 123 GLENN HWY, TOK, AK 99780
(907) 883-5855
Mailing address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-1973

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2417
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1121583
STATE LICENSE
AK
05
1630518
AK
01
2417
PHYSICIAN ASSISTANT-ALASKA MEDICAL BORAD
AK
Enumeration date
06/15/2015
Last updated
04/26/2025
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