Individual
DANIEL RYAN BONIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
419 S WASHINGTON ST STE 101, CASPER, WY 82601-2951
(307) 265-1620
(307) 237-1074
Mailing address
419 S WASHINGTON ST STE 101, CASPER, WY 82601-2991
(307) 265-1620
(307) 237-1074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
14070A
WY
2085R0202X
Diagnostic Radiology Physician
COPS126
NE
2085R0202X
Diagnostic Radiology Physician
DR.0065791
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
14070A
WY
Other
Enumeration date
07/15/2010
Last updated
06/17/2024
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