Sally A. Bomar M.D.

NPI 1043212228 - Family Medicine - 207Q00000X

NPI Details
NPI 1043212228
Gender Female
Enumeration Date 06/01/2005
Last Updated 11/09/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2016 S MAIN ST
MARYVILLE MO, 64468-2655, US
Phone (660) 562-2525
Fax (660) 562-4303
Business Location
MARYVILLE MO, 64468-2659, US
Phone (660) 562-2525
Fax (660) 562-7993
Taxonomy Code 207Q00000X
License State Iowa
License Number 31578
Remove 1043212228 NPI Number

According to our database, Dr. Sally A. Bomar M.D. NPI is 1043212228, taxonomy code is 207Q00000X and license number is 31578, license state is located at Iowa. Sally A. Bomar M.D. physically located at 2016 S Main St, Maryville MO, 64468-2655. NPI Number Sally A. Bomar M.D. has the Individual type.

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1043212228 NPI number is provided on an as is basis without warranty of any kind. 1043212228 is maintained by the National Plan & Provider Enumeration System. The contents of Sally A. Bomar M.D. are for informational purposes only.