JEREMY BONZO

ASHLAND, KY
NPI1447511332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: KY  50642)
Additional Taxonomies208800000X Urology
(Licence: PA  MT202082)
Enumeration Date2012-06-06
Last Update Date2021-11-18
Business Address
JEREMY BONZO M.D.
336 29TH ST STE 101
ASHLAND, KY 41101-1976
Phone number: 606-324-4404
Mailing Address
JEREMY BONZO M.D.
PO BOX 2379
ASHLAND, KY 41105-2379
Phone number: 606-408-6200
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