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Dr. Brian Timothy Bonner, D.O.

Emergency Medicine in Medford, OR. Individual provider (NPI-1).

NPI number1902034416
StatusActive
Last updated in NPPESFeb 10, 2017

Details

NPI
1902034416
Entity type
Individual (NPI-1)
Name
Dr. Brian Timothy Bonner
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 24, 2009
Last updated
Feb 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineDO162360ORYes

Practice location

1111 Crater Lake Ave
Medford, OR 97504-6241

Phone 541-732-6440

Mailing address

2510 Lyman Ave
Medford, OR 97504-6917

Phone 856-287-7378

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