Individual
DANIEL ROBERT BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 SE 3RD ST STE 500, EVANSVILLE, IN 47708-1421
(812) 473-0181
(812) 473-5822
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01049015A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200338650
—
IN
Enumeration date
07/15/2006
Last updated
03/17/2018
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