Individual
BRIAN K BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 GREENFIELD AVE, PITTSBURGH, PA 15207-1091
(412) 422-6500
(412) 422-4357
Mailing address
521 GREENFIELD AVE, PITTSBURGH, PA 15207-1091
(412) 422-6500
(412) 422-4357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD424481
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009892050001
—
PA
Enumeration date
11/29/2005
Last updated
06/08/2017
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