Individual
BONNIE KAY HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 BLANCA AVE STE 300, ALAMOSA, CO 81101-2340
(719) 589-3658
(719) 589-9514
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 589-5161
(719) 589-5722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43240
CO
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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