BONIFASIYO K. SSENNYAMANTONO

AVONDALE, AZ
NPI1902813678
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: AZ  35788)
Enumeration Date2006-08-02
Last Update Date2024-07-31
Business Address
Dr. BONIFASIYO K. SSENNYAMANTONO MD
10815 W MCDOWELL RD SUITE 202
AVONDALE, AZ 85392-5007
Phone number: 623-433-0202
Mailing Address
Dr. BONIFASIYO K. SSENNYAMANTONO MD
3815 E BELL RD STE 4500
PHOENIX, AZ 85032-2171
Phone number: 602-633-3848
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