Individual
GARY L BONWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5700 E PIMA, SUITE E, TUCSON, AZ 85712
(520) 324-2030
(520) 324-2619
Mailing address
5700 E PIMA, SUITE E, TUCSON, AZ 85712
(520) 324-2030
(520) 324-2619
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236332
—
AZ
Enumeration date
04/20/2006
Last updated
07/08/2007
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