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1326031667
BEDFORD W. BONTA
JOHNSON CITY, TN
NPI
1326031667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: TN MD24551)
Enumeration Date
2005-08-23
Last Update Date
2010-11-02
Business Address
-- BEDFORD W. BONTA MD
400 N STATE OF FRANKLIN RD 1ST FLOOR
JOHNSON CITY, TN 37604-6035
Phone number: 423-431-6671
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Mailing Address
-- BEDFORD W. BONTA MD
PO BOX 699
MOUNTAIN HOME, TN 37684-0699
Phone number: 423-431-6671
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