| Courtney Bonner Inc. | |
|
1420 Clark St Cambridge OH 43725-9617 | |
| (740) 435-2525 | |
| Not Available |
| Full Name | Courtney Bonner Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1420 Clark St, Cambridge, Ohio |
| Authorized Official Name and Position | Cindy Heller (PRACTICE COORDINATOR) |
| Authorized Official Contact | 7404390733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Bonner Inc. 1420 Clark St Cambridge OH 43725-9617 Ph: (740) 435-2525 | Courtney Bonner Inc. 1420 Clark St Cambridge OH 43725-9617 Ph: (740) 435-2525 |
| NPI Number | 1326236878 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326236878 | NPI | - | NPPES |
| 2136709 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34 006885 (Ohio) | Primary |
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