Individual
DR. JAMISON WADE BOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4901 THOMPSON PKWY, JOHNSTOWN, CO 80534-6426
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51010
CO
207Q00000X
Family Medicine Physician
A86826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022682
KAISER COMMERCIAL NUMBER
CO
05
—
28028872
—
CO
Enumeration date
11/28/2005
Last updated
06/11/2021
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