THOMAS MICHAEL BOUSMAN

VIRGINIA BEACH, VA
NPI1437467115
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  011001605)
Enumeration Date2010-09-16
Last Update Date2010-09-16
Business Address
-- THOMAS MICHAEL BOUSMAN PA
1133 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454-2402
Phone number: 757-496-2050
Mailing Address
-- THOMAS MICHAEL BOUSMAN PA
1133 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454-2402
Phone number: 757-496-2050
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