| Dr Mark Douglas Bonnell, MD | |
|
Santa Clara Health Center, Rr 5 Box 446, Espanola, NM 87532-8908 | |
| (505) 753-5039 | |
| Not Available |
| Full Name | Dr Mark Douglas Bonnell |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Geriatric Medicine |
| Location | Santa Clara Health Center, Espanola, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801872338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 85-163 (New Mexico) | Primary |
| 207R00000X | Internal Medicine | 85-163 (New Mexico) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Douglas Bonnell, MD Rr 5 Box 446, Santa Clara Pueblo Health Center, Espanola, NM 87532-8908 Ph: (505) 753-9421 | Dr Mark Douglas Bonnell, MD Santa Clara Health Center, Rr 5 Box 446, Espanola, NM 87532-8908 Ph: (505) 753-5039 |
Amy Longfellow, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7395 Fax: 505-426-3492 | |
Michael D Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St 3rd Fl Area 5, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-747-2025 | |
Dechen Wangmo Tsewang, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Rr5 Box 446, Santa Clara Health Center, Espanola, NM 87532 Phone: 505-753-9421 Fax: 505-753-5039 | |
Vidya Subramanian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Spruce St, Espanola Multi-specialty Clinic, Espanola, NM 87532 Phone: 505-367-0340 Fax: 505-367-0346 | |
Larry L Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 | |
Tanya P. Reyes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 Phone: 505-753-7218 | |
Enid D Lewis, RD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Spruce St, Espanola Hospital, Espanola, NM 87532 Phone: 505-753-7111 Fax: 505-753-4438 |