Individual
CALLIE COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
025334
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.025334
OH
Other
Enumeration date
08/20/2019
Last updated
10/01/2024
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