Individual
JOEL SCOTT BONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1012 BELMONT AVE, LA JUNTA, CO 81050-2101
(719) 383-5500
Mailing address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 761-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0067663
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0008385
CO
Other
Enumeration date
04/21/2020
Last updated
03/11/2025
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