Individual
MATTHEW R. BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1000
Mailing address
PO BOX 269024, OKLAHOMA CITY, OK 73126-9024
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24385
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
24385
OK
Other
Enumeration date
09/14/2005
Last updated
03/19/2024
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