Individual
ELIZABETH SHARPLESS BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2611 WAYNE AVE, BUILDING #66, DAYTON, OH 45420-1833
(937) 258-0440
(937) 258-6235
Mailing address
30 E BROAD ST, 11TH FLOOR, COLUMBUS, OH 43215-3414
(614) 466-6583
(614) 995-3268
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35078623-B
OH
Other
Enumeration date
12/06/2006
Last updated
03/07/2023
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