Individual
DR. RICK ALLEN BONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
307 S BROADWAY, SALISBURY, MO 65281-1037
(660) 388-6446
(660) 388-6870
Mailing address
1001 W WORLEY ST, COLUMBIA, MO 65203-2037
(573) 214-2314
(573) 814-2784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6J76
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013993039
—
MO
01
—
31906016
BCBS
MO
Enumeration date
12/21/2005
Last updated
08/03/2011
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