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Individual

MR. STEPHEN DWIGHT COMSTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
6725 GLENWOOD ST, BOISE, ID 83714-1926
(208) 319-1271
(208) 319-1274
Mailing address
10350 DASON DR, BOISE, ID 83704-1935
(208) 322-5245

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P-4064
ID

Other

Enumeration date
10/09/2007
Last updated
10/09/2007
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