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Individual

DR. MARTIN DAVID BOMALASKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3841 PIPER ST, SUITE T300, ANCHORAGE, AK 99508-4624
(907) 563-3103
(907) 561-1862
Mailing address
3841 PIPER ST, SUITE T300, ANCHORAGE, AK 99508-4624
(907) 563-3103
(907) 561-1862

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5610
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD12491
AK
Enumeration date
01/12/2006
Last updated
12/20/2011
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