Individual
BRUCE G BONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2311 M ST NW, SUITE 304, WASHINGTON, DC 20037-1445
(202) 331-0577
(202) 466-4808
Mailing address
2311 M ST NW, SUITE 304, WASHINGTON, DC 20037-1445
(202) 331-0577
(202) 466-4808
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
14653
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3060-0001
BLUECROSS BLUESHIELD
DC
Enumeration date
07/10/2006
Last updated
07/09/2007
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