Individual
BONNIE MARMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(937) 257-0837
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-0837
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.141356
OH
207P00000X
Emergency Medicine Physician
4301500857
MI
207P00000X
Emergency Medicine Physician
4351037703
MI
207P00000X
Emergency Medicine Physician
5315083941
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
07/16/2021
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