Healthcare Provider Details

I. General information

NPI: 1235427345
Provider Name (Legal Business Name): DANIEL COMBS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2011
Last Update Date: 03/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N CAMPBELL AVE
TUCSON AZ
85724-0001
US

IV. Provider business mailing address

1501 N CAMPBELL AVE RM 4346
TUCSON AZ
85724-5073
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-5437
  • Fax:
Mailing address:
  • Phone: 520-626-7780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR72754
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number48789
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: