| NPI | 1104461649 |
|---|---|
| Doing Business As | BONNER GENERAL OPHTHALMOLOGY |
| Entity Type | Organization |
| Authorized Contact | SHERYL RICKARD CEO 208-265-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2023-07-13 |