Doctor Name: | FAYE LOUIS BOMER |
NPI Number: | 1356411037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25031 |
Business Practice Address: | 6838 N 23rd Ave Phoenix, AZ - 850151056 |
Business Phone Number: | 6028648800 |
Business Fax Number: | 6028641448 |
Mailing Address: | 6838 N 23rd Ave, PHOENIX |
State: | AZ |
Postal Code: | 850151056 |
Phone Number: | 6028648800 |
Fax Number: | 6028641448 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 1356411037 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 25031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |