Organization
BONNER GENERAL HOSPITAL, INC
Active
Organization
BONNER GENERAL HOSPITAL, INC
Active
Other names
Bonner General Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HENNESSY (CHIEF EXECUTIVE OFFICER)
(208) 265-1100
Entity
Organization
Contact information
Practice address
606 N 3RD AVE STE 201, SANDPOINT, ID 83864-1689
(208) 263-8597
(208) 265-0667
Mailing address
PO BOX 1343, SANDPOINT, ID 83864-0863
(208) 265-1158
(208) 265-1278
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
08/08/2024
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