Individual
WILLIAM M. BOMBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1001 W 2ND AVE, SPOKANE, WA 99201-4503
(509) 835-1205
(509) 835-1208
Mailing address
611 N IRON BRIDGE WAY STE 300, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA-1486
ID
363AM0700X
Medical Physician Assistant
Primary
PA10004622
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8427098
—
WA
Enumeration date
07/13/2006
Last updated
05/20/2021
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