Individual
BONNIE KATRINA HOWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
504 WYNNFIELD LN, FARMINGTON, MO 63640-7698
(573) 631-7833
Mailing address
504 WYNNFIELD LN, FARMINGTON, MO 63640-7698
(573) 631-7833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9F07
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242266104
—
MO
Enumeration date
12/13/2006
Last updated
12/27/2010
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