Individual
MS. MARY KRISTINE BONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 262-8900
(602) 262-8890
Mailing address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125-0550717
IL
207L00000X
Anesthesiology Physician
Primary
44277
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635367
—
AZ
Enumeration date
09/30/2008
Last updated
09/22/2011
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