Individual
DR. ANTHONY JAMES BONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 CARONDELET DR, KANSAS CITY, MO 64114-4673
(800) 968-6866
Mailing address
PO BOX 2747, SHAWNEE MISSION, KS 66201-2747
(800) 968-6866
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2010006688
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200665010A
—
KS
01
—
44700015
BCBS
—
Enumeration date
04/26/2007
Last updated
12/22/2010
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