# NANCY J V BOHANNON, MD, MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699059113
- **Authorized official:** DR. NANCY J BOHANNON MD (PRESIDENT)
- **Authorized official phone:** (415) 648-7622

## Contact information

- **Practice address:** 1580 VALENCIA ST, STE 504, SAN FRANCISCO, CA 94110-4423
- **Practice address phone:** (415) 648-7622
- **Practice address fax:** (415) 648-6805
- **Mailing address:** 1580 VALENCIA ST, STE 504, SAN FRANCISCO, CA 94110-4423
- **Mailing address phone:** (415) 648-7622
- **Mailing address fax:** (415) 648-6805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A25795 | CA | Yes |

## Other

- **Enumeration date:** 10/03/2011
- **Last updated:** 10/03/2011