Individual provider · NPI-1

Dr. Martin David Bomalaski, MD

Urology · Anchorage, AK

NPI number1982683504
StatusActive
Last updated in NPPESDec 20, 2011

Details

NPI
1982683504
Entity type
Individual (NPI-1)
Name
Dr. Martin David Bomalaski
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 12, 2006
Last updated
Dec 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology5610AKYes

Practice location

3841 Piper St
Suite T300
Anchorage, AK 99508-4624

Phone 907-563-3103 · Fax 907-561-1862

Mailing address

3841 Piper St
Suite T300
Anchorage, AK 99508-4624

Phone 907-563-3103 · Fax 907-561-1862

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