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Contact Information

COLIN BOHANNAN, MD
2945 S DOBSON RD
MESA, AZ85202-7941
 Phone: 480-969-4138
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COLIN BOHANNAN · (Male)

NPI # 1760846570
Status Active
Credentials MD
Entity Individual
Enumeration date 04/07/2016
Last updated 09/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 69753
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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