Provider Demographics
NPI:1255303913
Name:COMER, STEWART WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:STEWART
Middle Name:WILLIAM
Last Name:COMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 S. PATTERSON AVE
Mailing Address - Street 2:PACIFIC DIAGNOSTIC LABORATORY
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111
Mailing Address - Country:US
Mailing Address - Phone:805-569-7582
Mailing Address - Fax:
Practice Address - Street 1:454 S. PATTERSON AVE
Practice Address - Street 2:PACIFIC DIAGNOSTIC LABORATORY
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:92111
Practice Address - Country:US
Practice Address - Phone:805-569-7582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69849207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology