Whalio Doctors

NPI 1104461649

Bonner General Hospital, INC

Organisation Ophthalmology Physician Sandpoint, ID

Practice location

Address
423 N 3rd Ave STE 110, Sandpoint, ID 83864-1511
Phone
(208) 265-1011
Fax
(208) 265-6271
Mailing address
PO Box 1343, Sandpoint, ID 83864-0863

Authorised official

Name
John Hennessy
Title
Ceo
Phone
(208) 265-1100

Registered specialties

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Registry record

NPI
1104461649
Entity type
Organization
NPI issued
7 Nov 2019
Record last updated
13 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.