NPI | 1982060984 |
---|---|
Doing Business As | BONNER GENERAL ORTHOPEDICS |
Entity Type | Organization |
Authorized Contact | JOHN HENNESSY Chief Executive Officer 208-265-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2016-01-06 |
Last Update Date | 2024-08-08 |