Individual
DR. NANCY J BOHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1580 VALENCIA ST, STE 504, SAN FRANCISCO, CA 94110-4415
(415) 648-7622
(415) 648-6805
Mailing address
1580 VALENCIA ST, STE 504, SAN FRANCISCO, CA 94110-4415
(415) 648-7622
(415) 648-6805
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A25795
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A25795
STATE LICENSE
CA
Enumeration date
07/31/2006
Last updated
01/18/2017
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