DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DAYNE KAWIKA BONZO, DO

Active Sole Proprietor

Pediatrics · EIELSON AFB, AK

Registration Details

NPI Number
1437505963
Provider Type
Individual
Gender
Male
NPI Issued
May 13, 2016 (9.9395936248019 yrs)
Last Updated
Aug 25, 2022
Licenses
34.013112 (OH)
34.013112 (OH)
Sole Proprietor
Yes

Practice Information

Address
2630 CENTRAL AVE # 3349
EIELSON AFB, AK, 997022301
Browse AK providers · Browse ZIP 99702
Phone
9073776455
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in EIELSON AFB, AK

Name Credential NPI
AMY ELIZABETH VAGEDES 1699193318
CAMVY VICTORIA PHAN DO 1134714629
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.