person
Dr. Larry David Bomsta, MD
Family Medicine Physician in Montpelier, Idaho
NPI 1114086048

Larry David Bomsta is a Family Medicine Physician based in Montpelier, ID. Larry David Bomsta practices in Montpelier, ID and has the professional credentials of MD. The NPI Number for Larry David Bomsta is 1114086048 and holds a License No. 5549 (Idaho).

The current practice location address for Larry David Bomsta is 467 Washington St, Montpelier, ID and can be reached out via phone at 208-847-0072 and via fax at 208-847-0077.

Location: 467 Washington St, Montpelier, ID, 83254-1544
person
Provider Profile Details
NPI Number
1114086048
Provider Name
Larry David Bomsta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
467 Washington St, Montpelier, ID, 83254-1544
Phone Number
208-847-0072
Fax Number
208-847-0077
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5549-1 01 ID BLUE CROSS OF IDAHO
000010004905 01 ID BLUE SHIELD OF IDAHO
institution
Provider Business Practice Location Address Details
Address
467 Washington St
City
State
Zip
83254-1544
Phone Number
208-847-0072
Fax Number
208-847-0077
person
Provider Business Mailing Address Details
Address
467 Washington St
City
State
Zip
83254-1544
Phone Number
208-847-0072
Fax Number
208-847-0077
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
5549 (Idaho)
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 is not limited by age, sex, organ system, or disease entity.
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