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Individual

BRYAN DIRK BOHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
701 WELCH RD, SUITE 216, PALO ALTO, CA 94304-1709
(650) 323-0617
(650) 323-4229

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G47659
CA
207R00000X
Internal Medicine Physician
G47659
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G476590
CA
Enumeration date
05/01/2006
Last updated
04/08/2024
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