Provider Demographics
NPI:1073687539
Name:COMBS, WILLIAM ARNOLD (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ARNOLD
Last Name:COMBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 MEMORIAL ST
Mailing Address - Street 2:
Mailing Address - City:PROSSER
Mailing Address - State:WA
Mailing Address - Zip Code:99350-1524
Mailing Address - Country:US
Mailing Address - Phone:509-837-1572
Mailing Address - Fax:509-837-2236
Practice Address - Street 1:1701 4TH ST STE 120
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-3661
Practice Address - Country:US
Practice Address - Phone:707-523-7025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60030905207Y00000X, 207YX0602X
CAG20429207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA516502609OtherCOMMERICAL INSURANCE
CA00G204290Medicaid
CA040016401OtherMEDICARE RAILROAD
CA516502609OtherCOMMERICAL INSURANCE
A40928Medicare UPIN
CA040016401OtherMEDICARE RAILROAD