WADE TRAVIS BOMENGEN

THERMOPOLIS, WY
NPI1710959168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WY  5946AWY)
Enumeration Date2006-02-01
Last Update Date2023-03-07
Business Address
Dr. WADE TRAVIS BOMENGEN M.D.
120 N C AVE
THERMOPOLIS, WY 82443-2410
Phone number: 307-864-5534
Mailing Address
Dr. WADE TRAVIS BOMENGEN M.D.
120 N C AVE
THERMOPOLIS, WY 82443-2410
Phone number: 307-864-5534
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