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Contact Information

RANDALL BOHANON, RN
640 E 700 S STE 3
SAINT GEORGE, UT84770-4006
 Phone: 435-673-1004
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for RANDALL BOHANON · (Male)

NPI Number 1174115679
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/05/2021
Last updated 02/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 9394954-3102
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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