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Jeremy Bonzo, MD
Urology Physician in Ashland, Kentucky
NPI 1447511332

Jeremy Bonzo is a Urology Physician based in Ashland, KY. Jeremy Bonzo practices in Ashland, KY and has the professional credentials of MD. The NPI Number for Jeremy Bonzo is 1447511332 and holds a License No. MT202082 (Kentucky).

The current practice location address for Jeremy Bonzo is 336 29Th St Ste 101, Ashland, KY and can be reached out via phone at 606-324-4404.

Location: 336 29Th St Ste 101, Ashland, KY, 41105-2379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447511332
Provider Name
Jeremy Bonzo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
336 29Th St Ste 101, Ashland, KY, 41105-2379
Phone Number
606-324-4404
Fax Number
Provider Enumeration Date
06/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100485660 05 KY
institution
Provider Business Practice Location Address Details
Address
336 29Th St Ste 101
City
Ashland
State
Kentucky
Zip
41101-1976
Phone Number
606-324-4404
Fax Number
person
Provider Business Mailing Address Details
Address
336 29Th St Ste 101
City
Ashland
State
Kentucky
Zip
41101-1976
Phone Number
606-324-4404
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MT202082 (Pennsylvania)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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