Organization
BONNY MASTERS MD INC
Active
Organization
BONNY MASTERS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNY MASTERS MD (OWNER)
(831) 539-6719
Entity
Organization
Contact information
Practice address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
(209) 661-4403
Mailing address
220 STANDIFORD AVE STE F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
05/11/2020
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