Larry David Bomsta in Montpelier - Family Medicine
Larry David Bomsta - NPI 1114086048
Larry David Bomsta is a Family Medicine in Montpelier, Idaho. Larry David Bomsta practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Larry David Bomsta is 1114086048. The last update date is 2007-07-08.
Larry David Bomsta's current location address is 467 Washington St, Montpelier, Idaho. You can contact this provider via phone number 2088470072 and fax number 2088470077. The mailing address for Larry David Bomsta is 467 Washington St, Montpelier, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry David Bomsta |
|---|---|
| Address | 467 Washington St, Montpelier, Idaho |
| Phone Number | 2088470072 |
| Fax Number | 2088470077 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114086048 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 467 Washington St |
|---|---|
| City | Montpelier |
| State | Idaho (ID) |
| Post Code | 832541544 |
| Phone Number | 2088470072 |
| Fax Number | 2088470077 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5549 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5549-1 | ID | BLUE CROSS OF IDAHO | |
| 10004905 | ID | BLUE SHIELD OF IDAHO |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larry David Bomsta by the Centers for Medicare & Medicaid Services?
The Larry David Bomsta has been assigned the NPI (National Provider Identifier) 1114086048 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Larry David Bomsta?
The Larry David Bomsta is situated at 467 Washington St, in the city of Montpelier, state of ID, with the zip code 832541544.
What is Larry David Bomsta's area of expertise and its corresponding taxonomy classification?
The Larry David Bomsta's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1114086048 assigned to Larry David Bomsta?
The Larry David Bomsta was issued its 1114086048 on 2006-12-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Larry David Bomsta's details last updated?
The information pertaining to the Larry David Bomsta, including its address, specialty, and other details, was most recently updated on 2007-07-08.