Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 918 | NM |
NPI | 1700856309 |
---|---|
Provider Name | Dr. Donald E Bonney |
First Address | Albuquerque, NM 87114-9268 |
Second Address | Albuquerque, NM 87114-9268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 21/03/2014 |