| NPI Details | |
|---|---|
| NPI | 1669616082 |
| Gender | Male |
| Enumeration Date | 04/29/2009 |
| Last Updated | 04/29/2009 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 435TH MEDICAL GROUP UNIT 3215 APO AE, 09094-3215, US |
|
| Phone | 06371462420 |
| Fax | |
| Business Location | |
|---|---|
| PSC 10 BOX 1226 APO AE, 09142-1226, US |
|
| Phone | 016090852893 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1710I1003X |
| License State | |
| License Number | |
| Remove 1669616082 NPI Number | |
According to our database, Dustin D Bohall IDMT NPI is 1669616082, taxonomy code is 1710I1003X Dustin D Bohall IDMT physically located at 435th Medical Group, Apo AE, 09094-3215. NPI Number Dustin D Bohall IDMT has the Individual type.
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1669616082 NPI number is provided on an as is basis without warranty of any kind. 1669616082 is maintained by the National Plan & Provider Enumeration System. The contents of Dustin D Bohall IDMT are for informational purposes only.
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