Individual
CHAD J BOHLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. ATC
Contact information
Practice address
2222 E HIGHLAND AVE, SUITE 430, PHOENIX, AZ 85016-4872
(602) 595-6180
Mailing address
5122 E SHEA BLVD APT 2154, SCOTTSDALE, AZ 85254-4680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0729
AZ
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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