Bon Nola, M.d. , LLC

NPI #1275715534 in Wichita, Kansas

Provider Information

NPI Number: 1275715534
Entity Type: Organization
Organization Name: Bon Nola, M.d. , LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 28, 2007
Last Updated: Dec 11, 2023

Practice Location

Address: 804 S OLIVER AVE
City: Wichita
State: Kansas
ZIP Code: 67218-2329
Phone: (316) 689-6004

Authorized Official

Name: BOUNSAVATH NOLA, M.D.
Title: OWNER
Phone: (316) 689-6004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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