John Ryan Bohannan

NPI #1780430520 in Boulder, Colorado

Provider Information

NPI Number: 1780430520
Entity Type: Individual
Name: John Ryan Bohannan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 24, 2024
Last Updated: Apr 24, 2024

Practice Location

Address: 1000 ALPINE AVE
City: Boulder
State: Colorado
ZIP Code: 80304-3406
Phone: (303) 443-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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