NPI | 1033737887 |
---|---|
Doing Business As | BONNER GENERAL FAMILY AND INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | JOHN HENNESSY CEO 208-265-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2020-07-08 |
Last Update Date | 2024-06-24 |