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Individual
DR. STEVEN BONEBRAKE
Active
Individual
DR. STEVEN BONEBRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS015786
PA
2085R0202X
Diagnostic Radiology Physician
OS015786
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
OS015786
PA
208M00000X
Hospitalist Physician
OS015786
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/09/2009
Last updated
11/11/2020
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