Individual
DR. SUSAN BONFILI FLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 SPRINGHILL BUSINESS PARK STE 201, MOBILE, AL 36608-1263
(251) 873-6192
(251) 873-6193
Mailing address
3601 SPRINGHILL BUSINESS PARK STE 201, MOBILE, AL 36608-1263
(251) 873-6192
(251) 873-6193
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
16183
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000016183
—
AL
01
—
051535228
MEDICARE PTAN
AL
01
—
1053318030
NPI
AL
Enumeration date
07/05/2005
Last updated
10/13/2021
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