Monica M. Bomar PA
Physician Assistant in Bald Knob, AR(View on Map)
Full Name
Monica M Bomar PA
NPI Number
1578819405
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/30/2012
Specialties
(Taxonomies)Licenses
State
Arkansas
Arkansas
License Number
PA-484
P-T1224
Contact
Information
Purpose
Mailing
Location
Address
117 S 2ND ST
PO BOX 456
City
Augusta
Bald Knob
State
AR
AR
Postal Code
72006-2309
72010-0456
Country
US
US
Telephone Number
(870) 347-2534
(501) 724-6207
Identifiers
Identifier
193007795
Identifier State
AR
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/30/2019