Individual
ROBERT BONIFANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5855 BREMO RD STE 100N, RICHMOND, VA 23226-1926
(804) 288-6258
(804) 673-1038
Mailing address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024172358
VA
Other
Enumeration date
02/13/2015
Last updated
09/08/2016
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