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Individual

DR. BONITA A PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3661 20TH ST # A, SAN FRANCISCO, CA 94110-2301
(415) 550-7900
(415) 550-7900
Mailing address
3661 20TH ST # A, SAN FRANCISCO, CA 94110-2301
(415) 550-7900
(415) 550-7900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G035357
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
G035457
CA
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
Primary
G035457
CA
2084P0800X
Psychiatry Physician
G035457
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G354570
CA
05
2018023
CA
01
94-3124827
EMPLOYER IDENTIFICATION #
CA
Enumeration date
11/25/2006
Last updated
11/28/2011
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