CRIS H BONTRAGER

JACKSON, AL
NPI1811909013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: AL  DO-902)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
-- CRIS H BONTRAGER D.O.
220 HOSPITAL DR
JACKSON, AL 36545-2459
Phone number: 251-246-9021
Mailing Address
-- CRIS H BONTRAGER D.O.
112 FOREST AVE
JACKSON, AL 36545-2714
Phone number: 251-246-5114