Individual
EUGENE A. BONDAREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1314 PETERS CREEK RD NW, ROANOKE, VA 24017-2500
(800) 950-3149
(540) 562-4258
Mailing address
1314 PETERS CREEK RD NW, ROANOKE, VA 24017-2500
(800) 950-3149
(540) 562-4258
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116023236
VA
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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