Individual provider · Type 1 NPI
Albert J. Bonebrake, MD
Gynecologic Oncology Physician · Springfield, MO
Practice location
1001 E Primrose St
Springfield, MO 65807-5155
Fax (417) 875-3450
Mailing address
PO Box 9007
Springfield, MO 65808-9007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecologic Oncology Physician Primary | 207VX0201X | 35473 (MS) |
Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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About NPI 1881636090
Albert J. Bonebrake, MD's National Provider Identifier is 1881636090, issued on Jun 12, 2006. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Springfield, MO. The record was last updated on Jul 3, 2012.