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Individual

BONNEY JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2801 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-7194
(405) 943-0303
Mailing address
2801 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-7194
(405) 943-0303

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/04/2024
Last updated
01/07/2026
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