Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 2336 | AL |
NPI | 1053657452 |
---|---|
Provider Name | David Mitchell Comfort |
First Address | Birmingham, AL 35205 |
Second Address | Birmingham, AL 35205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2012 |
Last Update Date | 13/12/2012 |