RYAN BONHAM

CLINICAL COLLEAGUES INC

Dr RYAN BONHAM is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2014.

Contact

CLINICAL COLLEAGUES INC

695 N KELLOGG ST
GALESBURG
IL
614012807

Tel: 3093438131

RYAN BONHAM Information

Npi 1225414667
Pac Id 2567769854
Professional Enrollment Id I20160331002081
Last Name BONHAM
First Name RYAN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CLINICAL COLLEAGUES INC
Group Practice Pac Id 8729011333
Number Of Group Practice Members 163
Line 1 Street Address 695 N KELLOGG ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GALESBURG
State IL
Zip Code 614012807
Phone Number 3093438131
Hospital Affiliation Ccn 1 140040
Hospital Affiliation Lbn 1 GALESBURG COTTAGE HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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