Organization
NEIL BOMAR MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS E HORTON MBA (PRACTICE MANAGER)
(901) 737-1992
Entity
Organization
Contact information
Practice address
6750 POPLAR AVE, 620, MEMPHIS, TN 38138-7438
(901) 755-9908
(901) 309-8784
Mailing address
6750 POPLAR AVE, 620, MEMPHIS, TN 38138-7438
(901) 755-9908
(901) 309-8784
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3326060
—
TN
Enumeration date
01/03/2011
Last updated
01/03/2011
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