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Organization
SHAWN A. BONNER D.O., INC
Active
Organization
SHAWN A. BONNER D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN ANDREW BONNER D.O. (PHYSICIAN/PRESIDENT)
(740) 454-4800
Entity
Organization
Contact information
Practice address
2447 MAPLE AVE, ZANESVILLE, OH 43701-1831
(740) 454-4800
(740) 454-4838
Mailing address
2447 MAPLE AVE, ZANESVILLE, OH 43701-1831
(740) 454-4800
(740) 454-4838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-007216-B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2158687
—
OH
Enumeration date
10/11/2007
Last updated
02/08/2011
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