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Dr. John Paul Bonvillian, DPM
Foot & Ankle Surgery Podiatrist in Winston Salem, North Carolina
NPI 1336677046

John Paul Bonvillian is a Foot & Ankle Surgery Podiatrist based in Winston Salem, NC and is specialized in Foot & Ankle Surgery. John Paul Bonvillian practices in Winston Salem, NC and has the professional credentials of DPM. The NPI Number for John Paul Bonvillian is 1336677046 and holds a License No. 07001329A (North Carolina).

The current practice location address for John Paul Bonvillian is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255 and via fax at 336-716-3202.

Location: Medical Center Blvd, Winston Salem, NC, 27157-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336677046
Provider Name
John Paul Bonvillian
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27157-0001
Phone Number
336-716-2255
Fax Number
336-716-3202
Provider Enumeration Date
05/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-3202
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-3202
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
707 (North Carolina)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
07001329A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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