Individual
MONTE M BONNEVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 W 134TH ST, CUT OFF, LA 70345-4155
(985) 632-6233
(985) 632-7526
Mailing address
144 W 134TH ST, CUT OFF, LA 70345-4155
(985) 632-6233
(985) 632-7526
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
012312
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1195880
—
LA
Enumeration date
03/10/2006
Last updated
08/21/2015
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