Individual
JANINA B BONWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 614-2134
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 614-2134
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E2464
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100025760A
—
OK
05
—
140628001
—
AR
Enumeration date
10/10/2005
Last updated
03/30/2011
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