Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK DOUGLAS BONNELL, M.D.
ActiveDR. MARK DOUGLAS BONNELL, M.D. is a Geriatric Medicine healthcare provider located in ESPANOLA, New Mexico. NPI 1801872338 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · ESPANOLA, NM
Registration Details
- NPI Number
- 1801872338
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2005 (20.687141551686 yrs)
- Last Updated
- Nov 19, 2007
- Licenses
-
85-163 (NM)85-163 (NM)
Practice Information
- Address
-
SANTA CLARA HEALTH CENTERRR 5 BOX 446ESPANOLA, NM, 875328908Browse NM providers · Browse ZIP 87532
- Phone
- 5057535039
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Internal Medicine
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.