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Individual
DR. BONITA A PALMER
Active
Individual
DR. BONITA A PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G035357
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
G035457
CA
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
Primary
G035457
CA
2084P0800X
Psychiatry Physician
G035457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G354570
—
CA
05
—
2018023
—
CA
01
—
94-3124827
EMPLOYER IDENTIFICATION #
CA
Enumeration date
11/25/2006
Last updated
11/28/2011
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