Individual
GARY WILLIAM BOMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6314 N 9TH AVE, PENSACOLA, FL 32504-7320
(850) 416-4730
(850) 416-4703
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 416-4730
(850) 416-4703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11006503
FL
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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