Individual
FAYE LOUIS BOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6838 N 23RD AVE, PHOENIX, AZ 85015-1056
(602) 864-8800
(602) 864-1448
Mailing address
6838 N 23RD AVE, PHOENIX, AZ 85015-1056
(602) 864-8800
(602) 864-1448
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25031
AZ
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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