Individual provider · Type 1 NPI

Keith G. Boman, MD

Specialist · Las Vegas, NV

NPI number 1093719338 Active

Practice location

601 S Rancho Dr, Ste. D-28
Las Vegas, NV 89106-4899

Fax (702) 383-0688

Mailing address

9260 W. Sunset Rd, STE200
Las Vegas, NV 89148-4903

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNV4089 (NV)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093719338

Keith G. Boman, MD's National Provider Identifier is 1093719338, issued on Jun 1, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 7, 2023.