| Dr Larry David Bomsta, MD | |
|
467 Washington St, Montpelier, ID 83254-1544 | |
| (208) 847-0072 | |
| (208) 847-0077 |
| Full Name | Dr Larry David Bomsta |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 467 Washington St, Montpelier, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114086048 | NPI | - | NPPES |
| 5549-1 | Other | ID | BLUE CROSS OF IDAHO |
| 000010004905 | Other | ID | BLUE SHIELD OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5549 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry David Bomsta, MD 467 Washington St, Montpelier, ID 83254-1544 Ph: (208) 847-0072 | Dr Larry David Bomsta, MD 467 Washington St, Montpelier, ID 83254-1544 Ph: (208) 847-0072 |
Trevor Dean Jacobson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 166 S 5th St, Montpelier, ID 83254 Phone: 208-847-1110 Fax: 208-847-0228 | |
Noall E Wolff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 360 N 2nd St, Montpelier, ID 83254 Phone: 208-847-5834 | |
Houston Reynolds, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 164 S 5th St, Montpelier, ID 83254 Phone: 208-514-2529 | |
Lance A Hansen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 Fax: 208-847-4336 | |
Dr. Peter Melvin Crane, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 |