# PHILIP EDWIN BOMEISL III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1962618975
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | 34009118 | OH | Yes |
| 207ZC0006X | Clinical Pathology Physician | 34009118 | OH | — |
| 207ZC0500X | Cytopathology Physician | 34009118 | OH | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | 34009118 | OH | — |
| 207ZF0201X | Forensic Pathology Physician | 34009118 | OH | — |
| 207ZH0000X | Hematology (Pathology) Physician | 34009118 | OH | — |
| 207ZI0100X | Immunopathology Physician | 34009118 | OH | — |
| 207ZM0300X | Medical Microbiology Physician | 34009118 | OH | — |
| 207ZN0500X | Neuropathology Physician | 34009118 | OH | — |
| 207ZP0007X | Molecular Genetic Pathology (Pathology) Physician | 34009118 | OH | — |
| 207ZP0101X | Anatomic Pathology Physician | 34-009118 | OH | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 34009118 | OH | — |
| 207ZP0104X | Chemical Pathology Physician | 34009118 | OH | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | 34009118 | OH | — |
| 207ZP0213X | Pediatric Pathology Physician | 34009118 | OH | — |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 03/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2978372 | — | OH |