Search › Idaho › 235Z00000X
Jonathan Bunney
NPI 1699411520 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3757 Southshore Dr.
Island Park, ID 83249 - Phone
- (208) 406-7738
Additional practice sites
- 782 Ranger St, Oakdale, CA
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho