Individual provider · NPI-1
Dr. Mark Douglas Bonnell, M.D.
Family Medicine, Geriatric Medicine · Espanola, NM
NPI number1801872338
StatusActive
Last updated in NPPESNov 19, 2007
Details
- NPI
- 1801872338
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Douglas Bonnell
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2005
- Last updated
- Nov 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | 85-163 | NM | Yes |
| 207R00000X | Internal Medicine | 85-163 | NM |
Practice location
Santa Clara Health CenterRr 5 Box 446
Espanola, NM 87532-8908
Phone 505-753-5039
Mailing address
Rr 5 Box 446Santa Clara Pueblo Health Center
Espanola, NM 87532-8908
Phone 505-753-9421 · Fax 505-753-5039
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, Geriatric Medicine providers in Espanola, NM
- Dr. Mustapha Kamel Abouda, MDNPI 1477654697
- Katlyn Maegan BrantleyNPI 1336015312
- Larry L Cohen, MDNPI 1114011509
- Donald W Hassemer, MDNPI 1528152907
- Dr. Leslie A Hayes, M.D.NPI 1982697330
- Hometown Health CareNPI 1578462263
- Onyinyechukwu Igbokwe, MDNPI 1811550585
- Dr. Carrie Elizabeth Jones, MDNPI 1437448404
- Silvia C Khalsa, MDNPI 1326132705
- Enid D Lewis, RDNPI 1215066766