Provider Demographics
NPI:1831542257
Name:HALCOMB, F. JOSEPH III (MD)
Entity type:Individual
Prefix:DR
First Name:F.
Middle Name:JOSEPH
Last Name:HALCOMB
Suffix:III
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 1:2466 AVENIDA DE LA ROSA
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-9090
Mailing Address - Country:US
Mailing Address - Phone:805-987-0158
Mailing Address - Fax:805-445-8727
Practice Address - Street 1:2466 AVENIDA DE LA ROSA
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-9090
Practice Address - Country:US
Practice Address - Phone:805-987-0158
Practice Address - Fax:805-445-8727
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69470207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine