Individual
DR. SARAH MARIAH PETH BOHNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 N HOSPITAL DR, FULTON, MO 65251-2511
(573) 642-5911
(573) 642-3015
Mailing address
110 N HOSPITAL DR, FULTON, MO 65251-2511
(573) 642-5911
(573) 642-3015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2020019023
MO
207Q00000X
Family Medicine Physician
Primary
2023009377
MO
Other
Enumeration date
06/29/2020
Last updated
05/11/2023
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