Provider Demographics
NPI:1013382589
Name:OWINGS, BONNIE (ST)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:OWINGS
Suffix:
Gender:F
Credentials:ST
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1282 W DESCANSO CANYON DR
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-6665
Mailing Address - Country:US
Mailing Address - Phone:480-326-1873
Mailing Address - Fax:
Practice Address - Street 1:20201 N SCOTTSDALE HEALTHCARE DR STE 250
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4138
Practice Address - Country:US
Practice Address - Phone:480-374-2935
Practice Address - Fax:480-374-2940
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist