Individual
GEOFFREY BOMMELAERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
816 N FOOTE AVE, COLORADO SPRINGS, CO 80909-4508
(719) 888-1007
Mailing address
PO BOX 1945, COLORADO SPRINGS, CO 80901-1945
(719) 888-1007
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
J663
—
Other
Enumeration date
06/25/2014
Last updated
05/09/2022
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