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Organization
SHANNON BONNESS MD PC
Active
Organization
SHANNON BONNESS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BONNESS MD (PRESIDENT/OWNER)
(310) 792-3914
Entity
Organization
Contact information
Practice address
614 W DUARTE RD, ARCADIA, CA 91007-7601
(310) 792-3914
(855) 898-4055
Mailing address
PO BOX 3098, TORRANCE, CA 90510-3098
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C55574
CA
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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