| NPI | 1316414436 |
|---|---|
| Doing Business As | BONNER GENERAL EAR, NOSE, AND THROAT |
| Entity Type | Organization |
| Authorized Contact | SHERYL RICKARD CEO 208-265-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2019-12-20 |