Individual provider · NPI-1

Dr. Thomas Whittaker Bohr, m.d.

· Loma Linda, CA

NPI number1992802284
StatusActive
Last updated in NPPESJul 11, 2007

Details

NPI
1992802284
Entity type
Individual (NPI-1)
Name
Dr. Thomas Whittaker Bohr
Credential
m.d.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 20, 2006
Last updated
Jul 11, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0600X G056238CAYes

Practice location

11201 Benton St
(127 Neurology)
Loma Linda, CA 92357

Phone 909-583-6049

Mailing address

Vamc Neurology (127)
11201 Benton St.
Loma Linda, CA 92357-0001

Phone 909-583-6049

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