Individual
EILEEN D. COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1202 HIGHWAY 60, SOCORRO HOSPITALIST SERVICE, SOCORRO, NM 87801-3914
(505) 835-1140
(505) 835-8716
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
9637
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000L7756
—
NM
Enumeration date
10/03/2006
Last updated
09/11/2009
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