Organization
JAMES R. BONNER, MD, INC
Active
Other names
James R. Bonner, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROY BONNER M.D. (OWNER)
(401) 943-9222
Entity
Organization
Contact information
Practice address
1150 RESERVOIR AVE, SUITE 205, CRANSTON, RI 02920-6068
(401) 943-9222
(401) 943-9290
Mailing address
1150 RESERVOIR AVE, SUITE 205, CRANSTON, RI 02920-6068
(401) 943-9222
(401) 943-9290
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD08084
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JB43582
—
RI
Enumeration date
08/31/2006
Last updated
08/22/2020
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