Bohannon Creek Enterprises, Inc.

NPI #1184640104 in Dillon, Montana

Provider Information

NPI Number
1184640104
Entity Type
Organization
Organization Name
Bohannon Creek Enterprises, Inc.
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jul 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
90 HIGHWAY 91 SOUTH
City
Dillon
State
Montana
ZIP Code
59725-3516
Phone
(406) 683-3000

Authorized Official

Name
GORDON H. LUCAS, CRNA
Title
PRESIDENT
Phone
(503) 372-2740

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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