Provider Demographics
NPI:1932307477
Name:COMSTOCK, JOSEPH CLINTON JR (ND)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CLINTON
Last Name:COMSTOCK
Suffix:JR
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 W MAGNOLIA BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-3030
Mailing Address - Country:US
Mailing Address - Phone:310-281-8538
Mailing Address - Fax:818-845-1608
Practice Address - Street 1:2515 W MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-3030
Practice Address - Country:US
Practice Address - Phone:310-281-8538
Practice Address - Fax:818-845-1608
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND-138175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath