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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