Individual
DAVID KEITH BONAUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3005
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00033532
WA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
MD00033532
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230839
L&I
WA
05
—
1063541100
—
WA
01
—
250012390
RAIL ROAD MEDICARE
WA
Enumeration date
03/05/2007
Last updated
01/13/2012
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