Individual
NATHAN MARK BOHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
765 E 800 N, LOGAN, UT 84321-3519
(435) 265-5709
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13980427-3503
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
08/07/2024
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