Female

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)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

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

Provider Address