person
Dr. Keith G Boman, MD
Specialist in Las Vegas, Nevada
NPI 1093719338

Keith G Boman is a Specialist based in Las Vegas, NV. Keith G Boman practices in Las Vegas, NV and has the professional credentials of MD. The NPI Number for Keith G Boman is 1093719338 and holds a License No. NV4089 (Nevada).

The current practice location address for Keith G Boman is 601 S Rancho Dr, Las Vegas, NV and can be reached out via phone at 702-383-0677 and via fax at 702-383-0688.

Location: 601 S Rancho Dr, Las Vegas, NV, 89148-4903
person
Provider Profile Details
NPI Number
1093719338
Provider Name
Keith G Boman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
601 S Rancho Dr, Las Vegas, NV, 89148-4903
Phone Number
702-383-0677
Fax Number
702-383-0688
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002002951 05 NV
NV 2996 01 NV BC/BS INDENTIFIER
institution
Provider Business Practice Location Address Details
Address
601 S Rancho Dr
City
State
Zip
89106-4899
Phone Number
702-383-0677
Fax Number
702-383-0688
person
Provider Business Mailing Address Details
Address
601 S Rancho Dr
City
State
Zip
89106-4899
Phone Number
702-383-0677
Fax Number
702-383-0688
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
NV4089 (Nevada)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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