Individual
DR. ROBERT CHARLES BONTREGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13172 HIGHWAY 287, HASLET, TX 76052-2619
(817) 639-2830
Mailing address
5413 CANONBURY RD, ROSEDALE, MD 21237-4902
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
239527
NY
207P00000X
Emergency Medicine Physician
Primary
N72225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02925771
—
NY
Enumeration date
09/26/2006
Last updated
06/25/2024
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