ANTHONY J BONITATIBUS MD
Individual Provider (NPI-1)
Active
Allergy & Immunology
Provider Information
- NPI Number
1689606477- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1001 NOBLE ST STE 1, FAIRBANKS, AK, 997014991
- Phone
- (907) 458-2635
Specialties & Taxonomies
Allergy & Immunology
License: GA #51624
Allergy & Immunology
License: MN #45670
Allergy & Immunology
Primary License: AK #166113