Nicholas Comstock, DO
Family Medicine in Kirksville, MO. Individual provider (NPI-1).
NPI number1568032712
StatusActive
Last updated in NPPESMar 2, 2023
Details
- NPI
- 1568032712
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Comstock
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2021
- Certification date
- Mar 2, 2023
- Last updated
- Mar 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2023006982 | MO | Yes |
| 207Q00000X | Family Medicine | temporary | MO |
Practice location
315 S Osteopathy AveKirksville, MO 63501-6401
Phone 660-785-1000
Mailing address
315 S Osteopathy AveKirksville, MO 63501-6401
Phone 660-785-1000
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