Boman, Bradley

Boman, Bradley is an individual health care provider with primary practice located at 11851 N 51St Ave Ste E130 , Glendale AZ 85304-2843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Boman, Bradley can be contacted via phone (623) 299-9540.

Contact Information

Primary practice address
11851 N 51St Ave Ste E130 Glendale AZ 85304-2843
Phone: (623) 299-9540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 012621 Arizona

Profile Details

NPI number 1861293243
LBN Legal business name Boman, Bradley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2025
Last updated Aug 26th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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