Individual
EMILY BOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-7000
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5000
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0007130
MD
363A00000X
Physician Assistant
Primary
PA2107
ME
Other
Enumeration date
02/20/2019
Last updated
11/07/2022
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