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NPI Code Detail

MEDICARE: STEPHEN BOHN

MEDICARE: STEPHEN 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
1183500000XPharmacistS015870AZ
2183500000XPharmacist17057NV

General Provider Information

NPI Number : 1528388618
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN BOHN
Provider Business Mailing Address
First Line : 2389 E WINDMILL LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2037
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2389 E WINDMILL LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2037
Country : US
Telephone Number : 702-837-9531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2010
Last Update Date : 06/11/2010

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Directions to “ STEPHEN BOHN ” Practice Location

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