person
Quinton Ty Bohannon, PA-C
Medical Physician Assistant in Coalgate, Oklahoma
NPI 1003154725

Quinton Ty Bohannon is a Medical Physician Assistant based in Coalgate, OK and is specialized in Medical. Quinton Ty Bohannon practices in Coalgate, OK and has the professional credentials of PA-C. The NPI Number for Quinton Ty Bohannon is 1003154725 and holds a License No. 2239 (Oklahoma).

The current practice location address for Quinton Ty Bohannon is 108 W Ohio Ave, Coalgate, OK and can be reached out via phone at 580-927-2334.

Location: 108 W Ohio Ave, Coalgate, OK, 74538-2827
person
Provider Profile Details
NPI Number
1003154725
Provider Name
Quinton Ty Bohannon
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
108 W Ohio Ave, Coalgate, OK, 74538-2827
Phone Number
580-927-2334
Fax Number
Provider Enumeration Date
01/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 W Ohio Ave
City
State
Zip
74538-2827
Phone Number
580-927-2334
Fax Number
person
Provider Business Mailing Address Details
Address
108 W Ohio Ave
City
State
Zip
74538-2827
Phone Number
580-927-2334
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2239 (Oklahoma)
Definition
Definition to come...
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