NPI 1962825356 · live from the CMS NPI Registry
Mariah Walker Bonner, DO
Family Medicine in Florence, MT. National Provider Identifier 1962825356, active.
NPI record
| NPI | 1962825356 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 5549 Us Highway 93 N, Florence, MT 59833 |
| Practice phone | 406-273-4923 |
| Mailing address | Po Box 12, Liberty Lake, WA 99019 |
| Enumerated | January 21, 2014 |
| Last updated | April 16, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 69131 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.