Susan S Bonner PA-C

NPI 1447406988 - Physician Assistant - 363A00000X

NPI Details
NPI 1447406988
Gender Female
Enumeration Date 08/15/2008
Last Updated 08/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2276 GEORGE WASHINGTON MEMORIAL HWY
HAYES VA, 23072-3559, US
Phone (804) 642-8776
Fax
Business Location
PO BOX 187
GWYNN VA, 23066-0187, US
Phone (804) 725-1613
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Virginia
License Number 0110840847
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According to our database, Susan S Bonner PA-C NPI is 1447406988, taxonomy code is 363A00000X and license number is 0110840847, license state is located at Virginia. Susan S Bonner PA-C physically located at 2276 George Washington Memorial Hwy, Hayes VA, 23072-3559. NPI Number Susan S Bonner PA-C has the Individual type.

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1447406988 NPI number is provided on an as is basis without warranty of any kind. 1447406988 is maintained by the National Plan & Provider Enumeration System. The contents of Susan S Bonner PA-C are for informational purposes only.