Individual
STEPHEN BONSIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10810 EXECUTIVE CENTER DR STE 100, LITTLE ROCK, AR 72211-4386
(501) 604-2695
(501) 604-2699
Mailing address
10810 EXECUTIVE CENTER DR STE 100, LITTLE ROCK, AR 72211-4386
(501) 604-2695
(501) 604-2699
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
01028549A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1546186
—
LA
Enumeration date
04/27/2006
Last updated
08/01/2016
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