JEREMY BONZO M.D.
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1447511332- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 336 29TH ST STE 101, ASHLAND, KY, 411011976
- Phone
- (606) 324-4404
Specialties & Taxonomies
Urology
License: PA #MT202082
Urology
Primary License: KY #50642