Individual
JOHN ADAM BONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7000
(937) 384-6896
Mailing address
PO BOX 4749, GRANTS PASS, OR 97501-0227
(541) 789-5516
(541) 789-5518
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD166835
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
06/04/2010
Last updated
08/05/2014
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