Individual
ADAM ELBERT BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2101 16TH ST, GREELEY, CO 80631-5116
(720) 390-0442
Mailing address
1851 LOCHMORE DR, LONGMONT, CO 80504-2364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007090
VA
363AM0700X
Medical Physician Assistant
0004117
CO
Other
Enumeration date
03/14/2013
Last updated
09/01/2023
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