Individual
DAVID C BOHARSKI
Active
Individual
DAVID C BOHARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN24307
MT
367500000X
Certified Registered Nurse Anesthetist
Primary
24307
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4305318
—
MT
Enumeration date
05/27/2005
Last updated
12/23/2009
Update your record
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