Individual provider · Type 1 NPI

Carin Bohan, PA-C

Medical Physician Assistant · Meridian, ID

NPI number 1710438874 Active

Practice location

3025 W Cherry Lane, Ste B
Meridian, ID 83642

Call (208) 302-6400 Map

Fax (208) 302-6455

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-1425 (ID)

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1710438874

Carin Bohan, PA-C's National Provider Identifier is 1710438874, issued on Oct 24, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Meridian, ID. The record was last updated on Nov 30, 2016.