Individual
RUDY JORDAN BOHINC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
540 LINCOLN PARK BLVD STE 200, DAYTON, OH 45429
(937) 298-8058
(937) 298-5638
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 762-1306
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34.010956
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103747
—
OH
Enumeration date
04/20/2011
Last updated
11/20/2020
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