Individual
DR. BRUCE A BOUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 E ROWAN AVE, 204, SPOKANE, WA 99207-1240
(509) 344-3100
(509) 344-3104
Mailing address
235 E ROWAN AVE, 204, SPOKANE, WA 99207-1240
(509) 344-3100
(509) 344-3104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00019896
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8322109
—
WA
Enumeration date
08/16/2005
Last updated
01/20/2011
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