Individual
REGINA B BONNEVIE-ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 S KITSAP BLVD, PORT ORCHARD, WA 98366-3778
(360) 876-7215
(360) 876-6721
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 478-2366
(360) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00035940
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110180983
RR MEDICARE
—
05
—
8229064
—
WA
Enumeration date
11/04/2005
Last updated
04/14/2008
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