Provider Demographics
NPI:1962663732
Name:COMSTOCK, RICHARD HARRIMAN III (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HARRIMAN
Last Name:COMSTOCK
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:224D CORNWALL ST NW STE 403
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2704
Mailing Address - Country:US
Mailing Address - Phone:703-737-6010
Mailing Address - Fax:703-443-8643
Practice Address - Street 1:6355 WALKER LANE, SUITE 308
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3245
Practice Address - Country:US
Practice Address - Phone:703-313-7700
Practice Address - Fax:703-313-0178
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2022-11-30
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Provider Licenses
StateLicense IDTaxonomies
VA0101259868207Y00000X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1962663732Medicaid