Scott B Bomgaars M.D.

NPI 1780782839 - Pediatrics - 208000000X

NPI Details
NPI 1780782839
Gender Male
Enumeration Date 09/20/2006
Last Updated 04/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
201 RIDGE ST
SUITE 105
COUNCIL BLUFFS IA, 51503-4643, US
Phone (712) 396-5437
Fax
Business Location
201 RIDGE ST
SUITE 105
COUNCIL BLUFFS IA, 51503-4643, US
Phone (712) 396-5437
Fax
Toxanomy
Taxonomy Code 208000000X
License State Iowa
License Number 28603
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According to our database, Scott B Bomgaars M.D. NPI is 1780782839, taxonomy code is 208000000X and license number is 28603, license state is located at Iowa. Scott B Bomgaars M.D. physically located at 201 Ridge St, Council Bluffs IA, 51503-4643. NPI Number Scott B Bomgaars M.D. has the Individual type.

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1780782839 NPI number is provided on an as is basis without warranty of any kind. 1780782839 is maintained by the National Plan & Provider Enumeration System. The contents of Scott B Bomgaars M.D. are for informational purposes only.