DR. Timothy Ray Bonine, MD

NPI #1215900865 in Sandpoint, Idaho

Provider Information

NPI Number: 1215900865
Entity Type: Individual
Name: DR. Timothy Ray Bonine, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Feb 13, 2006
Last Updated: Feb 19, 2008

Practice Location

Address: 1309 PONDEROSA DR
Address 2: SUITE 103
City: Sandpoint
State: Idaho
ZIP Code: 83864-8278
Phone: (208) 263-9545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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