Individual
MR. LARRY E. BOHNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0209
(570) 271-5185
(570) 271-5718
Mailing address
100 ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002792L
PA
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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