BON NOLA, M.D. , LLC
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1275715534- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 804 S OLIVER AVE, WICHITA, KS, 672182329
- Phone
- (316) 689-6004
- Fax
- (316) 613-2934
Specialties & Taxonomies
Internal Medicine
Primary License: KS #0424718