Individual
DR. ELAN DAHL BOMSZTYK
Active
Individual
DR. ELAN DAHL BOMSZTYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15430
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477714525
—
CA
05
—
1477714525
—
NV
01
—
P01374895
RR MEDICARE DRS
NV
01
—
P01374967
RR MEDICARE DR
NV
Enumeration date
06/21/2008
Last updated
02/03/2015
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