MISS Bonnie Beth Wickham, PA

NPI #1225058902 in Bend, Oregon

Provider Information

NPI Number: 1225058902
Entity Type: Individual
Name: MISS Bonnie Beth Wickham, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 19, 2006
Last Updated: Dec 3, 2024

Practice Location

Address: 61250 SE COOMBS PL
City: Bend
State: Oregon
ZIP Code: 97702-3704
Phone: (541) 706-5930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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