Edward Bomberger II, HS

NPI #1508827163 in Ketchikan, Alaska

Provider Information

NPI Number: 1508827163
Entity Type: Individual
Name: Edward Bomberger II, HS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Technician, Other
Credential: HS
Enumeration Date: Mar 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1300 STEDMAN ST
City: Ketchikan
State: Alaska
ZIP Code: 99901-6661
Phone: (907) 228-0320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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