Individual
DR. JAMES ROY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 RESERVOIR AVE, SUITE 205, CRANSTON, RI 02920-6068
(401) 943-9222
(401) 943-9290
Mailing address
1150 RESERVOIR AVE, SUITE 205, CRANSTON, RI 02920-6068
(401) 943-9222
(401) 943-9290
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD08084
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JB43582
—
RI
Enumeration date
02/08/2007
Last updated
07/08/2007
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