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NPI Verification

National Provider Identifier: 1710959168

Wade Travis Bomengen, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

120 N C AVE

THERMOPOLIS, WY 824432410

Phone: 307-864-5534

NPI Enumeration Date

February 1, 2006

NPI Number

1710959168

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry