Individual
GARY BOMMELAERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 MEDICAL ARTS AVE NE, MEDICAL ARTS CENTER, ALBUQUERQUE, NM 87102-2708
(505) 272-6222
Mailing address
1021 MEDICAL ARTS AVE NE, MSC07 4240, ALBUQUERQUE, NM 87102-2708
(505) 272-6222
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
73-94
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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