Individual
DR. VERLE DUANE BOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 E 1400 N, SUITE 100B, LOGAN, UT 84341-2534
(435) 787-0270
(435) 787-0262
Mailing address
630 E 1400 N, SUITE 100B, LOGAN, UT 84341-2534
(435) 787-0270
(435) 787-0262
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
168173-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003582300
—
ID
Enumeration date
04/26/2006
Last updated
01/23/2013
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