DR. Larry David Bomsta, MD
NPI #1114086048 in Montpelier, Idaho
Provider Information
- NPI Number
- 1114086048
- Entity Type
- Individual
- Name
- DR. Larry David Bomsta, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 467 WASHINGTON ST
- City
- Montpelier
- State
- Idaho
- ZIP Code
- 83254-1544
- Phone
- (208) 847-0072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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