Provider Demographics
NPI:1619727682
Name:COMSTOCK, AUBREY JEAN
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:JEAN
Last Name:COMSTOCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9394 ROAD 46
Mailing Address - Street 2:
Mailing Address - City:GURLEY
Mailing Address - State:NE
Mailing Address - Zip Code:69141-4111
Mailing Address - Country:US
Mailing Address - Phone:208-412-3086
Mailing Address - Fax:
Practice Address - Street 1:809 SOUTH ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-3592
Practice Address - Country:US
Practice Address - Phone:605-858-9571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist