Individual
WALTER MORSE BONNER JR.
Active
Individual
WALTER MORSE BONNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
3839
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038391
—
SC
01
—
3839
STATE MEDICAL LICENSE
SC
Enumeration date
04/11/2006
Last updated
07/13/2026
Update your record
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