Individual
DR. DANIEL JAMES BOHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 S MARKET ST, SUITE 1, CORTEZ, CO 81321-3502
(970) 565-4291
(970) 565-4419
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 564-2104
(970) 564-2134
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
50974
CO
207VG0400X
Gynecology Physician
18988
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206128
—
IA
05
—
40327558
—
CO
05
—
698753
—
AZ
Enumeration date
01/12/2006
Last updated
08/20/2012
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