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DR. EUGENE VINCENT BONVENTRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
PENTAGON FLIGHT MEDICINE CLINIC, 1760 AIR FORCE PENTAGON ROOM 4A674, WASHINGTON, DC 20330-1760
(703) 697-3255
(703) 614-1663
Mailing address
2109 12TH PL NW, WASHINGTON, DC 20009-7510
(703) 697-0561
(703) 693-0729

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
IL
208600000X
Surgery Physician
Primary
IL

Other

Enumeration date
10/20/2006
Last updated
09/11/2025
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