Individual
ANDREW BOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5040 N 15TH AVE, SUITE 104, PHOENIX, AZ 85015-3328
(623) 245-0505
Mailing address
32 E COLTER ST, PHOENIX, AZ 85012-1421
(480) 334-0996
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5899
AZ
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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