# COMPREHENSIVE WOMENS HEALTH SVC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407878119
- **Authorized official:** WALTER DODARD (ADMINISTRATOR)
- **Authorized official phone:** (315) 788-2003

## Contact information

- **Practice address:** 622 WASHINGTON STREET, WATERTOWN, NY 13601-4036
- **Practice address phone:** (315) 788-2003
- **Practice address fax:** (315) 788-7087
- **Mailing address:** PO BOX 91, WATERTOWN, NY 13601
- **Mailing address phone:** (315) 782-4207
- **Mailing address fax:** (315) 782-8699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 11/22/2011