Individual
DR. JOHNATHAN MARK COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1599 J ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-5391
Mailing address
1599 J ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-5391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-34105
KS
207Q00000X
Family Medicine Physician
2003024388
MO
207Q00000X
Family Medicine Physician
M7916
TX
Other
Enumeration date
01/01/2006
Last updated
09/12/2019
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