| Bonner General Family and Internal Medicine | |
|
423 N Third Ave Ste 210 Sandpoint ID 83864-1511 | |
| (208) 265-2221 | |
| (208) 265-2229 |
| Full Name | Bonner General Family and Internal Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 423 N Third Ave Ste 210, Sandpoint, Idaho |
| Authorized Official Name and Position | John Hennessy (CEO) |
| Authorized Official Contact | 2082651100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonner General Family and Internal Medicine Po Box 1343 Sandpoint ID 83864-0863 Ph: (208) 265-1158 | Bonner General Family and Internal Medicine 423 N Third Ave Ste 210 Sandpoint ID 83864-1511 Ph: (208) 265-2221 |
| NPI Number | 1033737887 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 09/25/2026 |
| Certification Date | 09/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033737887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
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