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1902034416
BRIAN TIMOTHY BONNER
MEDFORD, OR
NPI
1902034416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR DO162360)
Enumeration Date
2009-06-24
Last Update Date
2017-02-10
Business Address
Dr. BRIAN TIMOTHY BONNER D.O.
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 541-732-6440
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Mailing Address
Dr. BRIAN TIMOTHY BONNER D.O.
2510 LYMAN AVE
MEDFORD, OR 97504-6917
Phone number: 856-287-7378
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