Individual provider · Type 1 NPI

Colin Neil Bomstad, MD

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1407640097 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-2000 Map

Mailing address

4459 E 1369th Rd
Earlville, IL 60518-6265

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

981 other providers at this address

Other student in an organized health care education/training program providers in Peoria

See all in Peoria →

About NPI 1407640097

Colin Neil Bomstad, MD's National Provider Identifier is 1407640097, issued on Apr 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Apr 8, 2025.