NPI 1447511332

Jeremy Bonzo, MD

Practitioner Urology Physician Ashland, KY

Practice location

Address: 336 29th St STE 101, Ashland, KY 41101-1976
Phone: (606) 324-4404
Mailing address: PO Box 2379, Ashland, KY 41105-2379

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 50642 (KY)

Other Urology providers in Kentucky →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MT202082 (PA)

Registry record

NPI: 1447511332
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2012
Record last updated: 18 Nov 2021

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.