Individual provider · NPI-1

David Bonner, MD

Family Medicine · Kennewick, WA

NPI number1356909071
StatusActive
Last updated in NPPESAug 26, 2022

Details

NPI
1356909071
Entity type
Individual (NPI-1)
Name
David Bonner
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 29, 2019
Certification date
Aug 26, 2022
Last updated
Aug 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD61301406WAYes

Practice location

9040 W Clearwater Ave
Kennewick, WA 99336-8635

Phone 509-942-3291

Mailing address

550 Gage Blvd Ste 101
Richland, WA 99352-9532

Phone 509-942-2516 · Fax 509-942-2527

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Kennewick, WA