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Individual

ANTHONY G BOHORFOUSH III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1560 N 115TH ST, SUITE 207, SEATTLE, WA 98133-8414
(206) 668-1341
(206) 668-1342
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00025454
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689645285
WA
Enumeration date
01/31/2006
Last updated
05/05/2016
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