Individual
MR. RICHARD BOHNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6013 87TH AVE W, UNIVERSITY PLACE, WA 98467-1611
(253) 565-5972
Mailing address
6013 87TH AVE W, UNIVERSITY PLACE, WA 98467-1611
(253) 565-5972
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10002317
WA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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