Individual
BRANDON DAVID BOMSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1735 27TH ST, WALLER BUILDING, SUITE B06, PORTSMOUTH, OH 45662-2677
(740) 356-8051
(740) 353-7900
Mailing address
1735 27TH ST, WALLER BUILDING, SUITE B06, PORTSMOUTH, OH 45662-2677
(740) 356-8051
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58.003363
OH
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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