Individual
ISAAC ARNOLD BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
27041
AL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
MD60147213
WA
Other
Enumeration date
05/22/2007
Last updated
05/18/2021
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