Organization
NANCY J. BOHANNON MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY J BOHANNON MD. (OWNER)
(360) 307-7202
Entity
Organization
Contact information
Practice address
9750 LEVIN RD NW, SILVERDALE, WA 98383-8399
(360) 307-7202
(360) 698-6600
Mailing address
9750 LEVIN RD NW, SILVERDALE, WA 98383-8399
(360) 307-7202
(360) 698-6600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00031490
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7112485
—
WA
Enumeration date
09/21/2005
Last updated
12/20/2007
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