Individual
PHILLIP BONAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 767-5222
(541) 767-5230
Mailing address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-2041
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
31675
FL
207P00000X
Emergency Medicine Physician
Primary
MD215229
OR
207P00000X
Emergency Medicine Physician
ME158009
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2020
Last updated
08/21/2023
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