Individual
BRADLEY BOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3555 S NATIONAL AVE STE 102, SPRINGFIELD, MO 65807-7310
(000) 000-0000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2023009742
MO
207RR0500X
Rheumatology Physician
75117-20
WI
Other
Enumeration date
05/02/2018
Last updated
08/25/2023
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