DR. Brian K. Bonham, M.D.

NPI #1366407975 in Smithsburg, Maryland

Provider Information

NPI Number: 1366407975
Entity Type: Individual
Name: DR. Brian K. Bonham, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Apr 18, 2006
Last Updated: Oct 17, 2013

Practice Location

Address: 22911 JEFFERSON BLVD
City: Smithsburg
State: Maryland
ZIP Code: 21783-1617
Phone: (301) 824-3343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X	Primary

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