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NPI Code Detail

MEDICARE: DR. GEORGE D COMFORT M.D.

MEDICARE: DR. GEORGE D COMFORT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician32390MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2323290OTHERMOSTATE OF MISSOURI LICENSE

General Provider Information

NPI Number : 1154306629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE D COMFORT M.D.
Provider Business Mailing Address
First Line : 627 WOODLAWN ST
Second Line :
City : MEXICO
State : MO
Zip : 65265-3148
Country : US
Telephone Number : 573-581-7685
Fax Number :
Provider Business Practice Location Address
First Line : 620 E MONROE ST
Second Line :
City : MEXICO
State : MO
Zip : 65265-2919
Country : US
Telephone Number : 573-582-4000
Fax Number : 573-582-3712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 10/23/2012

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Directions to “ DR. GEORGE D COMFORT M.D.” Practice Location

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