Individual
EDWARD BOMBERGER II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
1300 STEDMAN ST, KETCHIKAN, AK 99901-6661
(907) 228-0320
Mailing address
1300 STEDMAN ST, KETCHIKAN, AK 99901-6661
(907) 228-0320
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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