BONAVENTURA REPRODUCTIVE MEDICINE NPI 1245442177

NPI Information

BONAVENTURA REPRODUCTIVE MEDICINE is a reproductive endocrinology obstetrics gynecology in Carmel, IN. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. BONAVENTURA REPRODUCTIVE MEDICINE NPI is 1245442177. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11725 N ILLINOIS ST
STE 345
CARMEL, IN
ZIP 46032-008
Phone: (317) 814-4570
Fax: (317) 814-4517

The provider's authorized official is Leo Bonaventura .
The authorized official title is Owner and has the following contact phone number (317) 814-4570.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 9/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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