Mark Douglas Bonnell in Espanola - Internal Medicine

Mark Douglas Bonnell - NPI 1801872338

Mark Douglas Bonnell is a Internal Medicine in Espanola, New Mexico. Mark Douglas Bonnell practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark Douglas Bonnell is 1801872338. The last update date is 2007-11-19.

Mark Douglas Bonnell's current location address is Rr 5 Box 446, Espanola, New Mexico. You can contact this provider via phone number 5057539421 and fax number 5057535039. The mailing address for Mark Douglas Bonnell is Rr 5 Box 446, Espanola, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Douglas Bonnell
Address Rr 5 Box 446, Espanola, New Mexico
Phone Number 5057539421
Fax Number 5057535039
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1801872338
Provider Enumeration Date 2005-12-16
Last Updated Date 2007-11-19

Provider Mailing Address Detail

Address Rr 5 Box 446
City Espanola
State New Mexico (NM)
Post Code 875328908
Phone Number 5057539421
Fax Number 5057535039

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 85-163
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about Mark Douglas Bonnell

What is the unique identifier code issued to Mark Douglas Bonnell by the Centers for Medicare & Medicaid Services?

The Mark Douglas Bonnell has been assigned the NPI (National Provider Identifier) 1801872338. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mark Douglas Bonnell's facilities are geographically located?

The facilities of Mark Douglas Bonnell are physically situated at the following location: Rr 5 Box 446, Espanola, NM, 875328908.

What is Mark Douglas Bonnell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark Douglas Bonnell is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801872338 to Mark Douglas Bonnell?

The Centers for Medicare & Medicaid Services originally issued the 1801872338 to Mark Douglas Bonnell on 2005-12-16.

As of what date were the details related to Mark Douglas Bonnell most recently updated or revised?

The information pertaining to Mark Douglas Bonnell, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-19.

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