Individual
JOHN H BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 554-1944
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1944
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-00-2361
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0656311
—
OH
Enumeration date
06/21/2005
Last updated
07/11/2007
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