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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | NV4089 (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.