Doctor Name: | DR. DENNIS W COOMBS |
NPI Number: | 1467437822 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 5506 |
Business Practice Address: | 125 Mascoma St Lebanon, NH - 037662647 |
Business Phone Number: | 6034439508 |
Business Fax Number: | 6034439549 |
Mailing Address: | 397 Hanover Center Rd, ETNA |
State: | NH |
Postal Code: | 037504213 |
Phone Number: | 6034439508 |
Fax Number: | 6034439549 |
NPI Enumeration Date: | 12/08/2005 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 5506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |