Individual
DUSTIN LEE BONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 N HIGHWAY 69, FRONTENAC, KS 66763-8100
(620) 235-1377
Mailing address
302 N HOSPITAL DR, GIRARD, KS 66743-2000
(620) 724-8291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-44000
KS
Other
Enumeration date
04/10/2019
Last updated
07/29/2022
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