Individual
DR. BONHOMME JOSEPH PRUD'HOMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26507-0897
(304) 598-4800
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18188
WV
207XS0106X
Orthopaedic Hand Surgery Physician
18188
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1840644000
—
WV
01
—
P00408273
RAILROAD MEDICARE
WV
Enumeration date
11/15/2006
Last updated
04/15/2022
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