Individual
DR. CRESS ROY BOHNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1665 BONANZA DR, PARK CITY, UT 84060-5127
(435) 649-7640
(435) 649-1365
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 491-6482
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
174030-1205
UT
207Q00000X
Family Medicine Physician
Primary
174030-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D0010
—
UT
Enumeration date
07/05/2006
Last updated
09/04/2012
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