LARRY DAVID BOMSTA

MONTPELIER, ID
NPI1114086048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  5549)
Enumeration Date2006-12-06
Last Update Date2007-07-08
Business Address
DR. LARRY DAVID BOMSTA MD
467 WASHINGTON ST
MONTPELIER, ID 83254-1544
Phone number: 208-847-0072
Mailing Address
DR. LARRY DAVID BOMSTA MD
467 WASHINGTON ST
MONTPELIER, ID 83254-1544
Phone number: 208-847-0072
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