Organization
JAMES C BONVALLET MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CECIL BONVALLET MD (THORAACIC SURGEON)
(509) 489-7866
Entity
Organization
Contact information
Practice address
220 E ROWAN AVE, SUITE 230, SPOKANE, WA 99207-1202
(509) 489-7866
(509) 489-7762
Mailing address
220 E ROWAN AVE, SUITE 230, SPOKANE, WA 99207-1202
(509) 489-7866
(509) 489-7762
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00010836
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7836901
—
WA
Enumeration date
09/28/2007
Last updated
09/28/2007
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