Roger D. Bonham M.d., P.c.

NPI #1063544674 in Columbia, Missouri

Provider Information

NPI Number: 1063544674
Entity Type: Organization
Organization Name: Roger D. Bonham M.d., P.c.
Primary Specialty: Ophthalmology
Enumeration Date: Mar 9, 2007
Last Updated: Sep 14, 2009

Practice Location

Address: 500 N KEENE ST
Address 2: SUITE 101
City: Columbia
State: Missouri
ZIP Code: 65201-8105
Phone: (573) 449-3846

Authorized Official

Name: KATHY CUNDIFF
Title: GENERAL MANAGER
Phone: (573) 449-3846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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