Individual
ERIC PAUL BAHORIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-0837
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-0837
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
0101267539
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
08/13/2023
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