Todd Bohannon, MD

NPI #1740381276 in Benton, Kentucky

Provider Information

NPI Number: 1740381276
Entity Type: Individual
Name: Todd Bohannon, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Sep 26, 2006
Last Updated: Jan 18, 2008

Practice Location

Address: 503 GEORGE MCCLAIN DR
City: Benton
State: Kentucky
ZIP Code: 42025-1331
Phone: (270) 527-8144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Family Medicine	207Q00000X
Family Medicine - Sports Medicine — Sports Medicine	207QS0010X

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