Individual
DR. BONNIE K GOINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
902 N RIVERSIDE RD, #201, SAINT JOSEPH, MO 64507-2559
(816) 271-7280
(816) 271-1047
Mailing address
902 N RIVERSIDE RD STE 201, SAINT JOSEPH, MO 64507-2566
(816) 271-7280
(816) 271-1047
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
100270
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203823505
—
MO
01
—
21473026
BCBS
MO
01
—
P00092604
RR MEDICARE
—
Enumeration date
10/05/2005
Last updated
10/19/2017
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