Individual
DR. THEODORE WELDON BOHLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8820 STEWART RD, MERIDIAN, ID 83642-7226
(208) 841-0035
Mailing address
8820 STEWART RD, MERIDIAN, ID 83642-7226
(208) 841-0035
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M-5165
ID
Other
Enumeration date
12/29/2012
Last updated
12/29/2012
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