Individual
DR. CHARLES HENDERSON BONNER SR.
Active
Individual
DR. CHARLES HENDERSON BONNER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MS, CRP
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0715002791
VA
208600000X
Surgery Physician
0101032689
VA
Other
Enumeration date
06/21/2005
Last updated
07/18/2008
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