Isaac Arnold Bohannon, MD
Otolaryngology, Plastic Surgery within the Head & Neck in Bellevue, WA. Individual provider (NPI-1).
NPI number1497964720
StatusActive
Last updated in NPPESMay 18, 2021
Details
- NPI
- 1497964720
- Entity type
- Individual (NPI-1)
- Name
- Isaac Arnold Bohannon
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2007
- Certification date
- May 18, 2021
- Last updated
- May 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | MD60147213 | WA | Yes |
| 207Y00000X | Otolaryngology | 27041 | AL |
Practice location
11511 Ne 10th StBellevue, WA 98004-8578
Phone 425-502-3000
Mailing address
11511 Ne 10th StBellevue, WA 98004-8578
Phone 425-502-3000
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