Individual
DR. ROBERT DANIEL BOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 VIRGINIA RD, SUITE B, EDENTON, NC 27932-9667
(252) 482-2210
(252) 482-2257
Mailing address
222 VIRGINIA RD, SUITE B, EDENTON, NC 27932-9667
(252) 482-2210
(252) 482-2257
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2007-00196
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0355246
RAILROAD MEDICARE
OH
05
—
5910769
—
NC
Enumeration date
06/09/2006
Last updated
01/05/2011
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