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Individual
DR. GORDON SCOTT BONTRAGER
Active
Individual
DR. GORDON SCOTT BONTRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MRM-1734
ID
363A00000X
Physician Assistant
2119
TN
Other
Enumeration date
10/07/2009
Last updated
01/29/2025
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