Individual
MARK DANIEL BOMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101
(206) 223-6980
(206) 223-6982
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6980
(206) 223-6982
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A74455
CA
207L00000X
Anesthesiology Physician
Primary
MD60918910
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A744550
—
CA
Enumeration date
06/30/2006
Last updated
03/14/2019
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