Quinton Ty Bohannon, P.A.-C
NPI #1003154725 in Coalgate, Oklahoma
Provider Information
- NPI Number
- 1003154725
- Entity Type
- Individual
- Name
- Quinton Ty Bohannon, P.A.-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.-C
- Enumeration Date
- Jan 30, 2013
- Last Updated
- Jan 30, 2013
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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