Wade Travis Bomengen in Thermopolis - Family Medicine
Wade Travis Bomengen - NPI 1710959168
Wade Travis Bomengen is a Family Medicine in Thermopolis, . Wade Travis Bomengen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wade Travis Bomengen is 1710959168. The last update date is 2023-03-07.
Wade Travis Bomengen's current location address is 120 N C Ave, Thermopolis, . You can contact this provider via phone number 3078645534 and fax number 3078649470. The mailing address for Wade Travis Bomengen is 120 N C Ave, Thermopolis, . To know further, please read the information below!
Provider Profile Detail
Provider Name | Wade Travis Bomengen |
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Address | 120 N C Ave, Thermopolis, |
Phone Number | 3078645534 |
Fax Number | 3078649470 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1710959168 |
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Provider Enumeration Date | 2006-02-01 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 120 N C Ave |
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City | Thermopolis |
State | (WY) |
Post Code | 824432410 |
Phone Number | 3078645534 |
Fax Number | 3078649470 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 5946AWY |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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5946AWY | WY | WY MEDICAL LICENSE # | |
113009900 | WY | -- | |
613WB97 | WY | WY CONTROLLED SUBSTANCE # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wade Travis Bomengen by the Centers for Medicare & Medicaid Services?
The Wade Travis Bomengen has been issued the NPI (National Provider Identifier) 1710959168 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Wade Travis Bomengen is physically located?
The Wade Travis Bomengen is situated at the following address: 120 N C Ave, Thermopolis, WY 824432410.
What is the Wade Travis Bomengen's area of specialization and corresponding taxonomy classification?
The Wade Travis Bomengen's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Wade Travis Bomengen receive its 1710959168?
The Wade Travis Bomengen was issued its 1710959168 on 2006-02-01, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Wade Travis Bomengen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wade Travis Bomengen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.