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NPI Code Detail

MEDICARE: ROBERT AUSTIN BOHN

MEDICARE: ROBERT AUSTIN BOHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1255257812
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT AUSTIN BOHN
Provider Business Mailing Address
First Line : 5017 GREYSON CREEK DR
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-7757
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5017 GREYSON CREEK DR
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-7757
Country : US
Telephone Number : 408-402-2372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2026
Last Update Date : 06/27/2026

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