Individual
STEVEN SCOTT BONIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6800
(318) 681-4138
(318) 681-4867
Mailing address
919 HIDDEN RDG, FLOOR 6, IRVING, TX 75038-3813
(469) 282-2713
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200437
LA
207RH0003X
Hematology & Oncology Physician
Primary
200437
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092631
—
LA
05
—
1161608
—
LA
05
—
194240102
—
TX
Enumeration date
06/16/2006
Last updated
09/02/2016
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