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Individual
BRADFORD K BOHMAN
Active
Individual
BRADFORD K BOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
85-174080-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005086102
IHC
UT
01
—
2000026
UNITED HEALTHCARE
UT
01
—
219494
ALTIUS
UT
01
—
52175
HEALTHY U
UT
01
—
5823
DESERET MUTUAL
UT
01
—
68295
PEHP
UT
01
—
870458780B01
EDUCATORS MUTUAL
UT
01
—
PR00182
MOLINA
UT
Enumeration date
08/11/2006
Last updated
07/08/2007
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