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MR. THOMAS GREGORY COMSTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
410 S CHESTNUT ST, SEYMOUR, IN 47274-2332
(812) 522-2349
Mailing address
PO BOX 4777, BLOOMINGTON, IN 47402-4777
(812) 336-1690
(812) 349-1311

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000054A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10000054A
PHYSICIAN ASSISTANT
IN
Enumeration date
06/27/2006
Last updated
04/27/2010
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