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Individual

DR. ONAN WALKER BOMAR IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3806 MECHANICSVILLE TPKE, RICHMOND, VA 23223-1114
(804) 228-1143
Mailing address
1340 CENTRAL PARK BLVD STE 100, FREDERICKSBURG, VA 22401-4940

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101255432
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VAD000
FEDERAL UPIN
TN
Enumeration date
07/22/2008
Last updated
03/25/2026
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