Healthcare Provider Details

I. General information

NPI: 1447357892
Provider Name (Legal Business Name): TROY COMSTOCK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 06/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 E THOMPSON PEAK PKWY
SCOTTSDALE AZ
85255-4109
US

IV. Provider business mailing address

7351 E OSBORN RD
SCOTTSDALE AZ
85251-6451
US

V. Phone/Fax

Practice location:
  • Phone: 480-324-7004
  • Fax: 480-324-7010
Mailing address:
  • Phone: 480-882-4335
  • Fax: 480-882-5705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number36505
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number36913
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number36913
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: