Roger D Bonham, M.D.
Ophthalmology in Columbia, MO. Individual provider (NPI-1).
NPI number1407855778
StatusActive
Last updated in NPPESAug 19, 2011
Details
- NPI
- 1407855778
- Entity type
- Individual (NPI-1)
- Name
- Roger D Bonham
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2005
- Last updated
- Aug 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | R6F35 | MO | Yes |
Practice location
500 N Keene StSuite 101
Columbia, MO 65201-8104
Phone 573-449-3846 · Fax 573-449-3706
Mailing address
500 N Keene StSuite 101
Columbia, MO 65201-8105
Phone 573-449-3846 · Fax 573-449-3706
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