Individual provider · Type 1 NPI
Jeffrey Anothony Bonacci, DA, ATC
Student in an Organized Health Care Education/Training Program · Fayetteville, AR
NPI number
1043368335
Active
Practice location
1696 N Stardust Ln
Fayetteville, AR 72701-2883
Fax (479) 575-5778
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | AT 267 (AR) |
Student in an Organized Health Care Education/Training Program: 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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- Sasin Payakachat, MDStudent in an Organized Health Care Education/Training Program Fayetteville, AR NPI 1003669193
- Grace WoodStudent in an Organized Health Care Education/Training Program Fayetteville, AR NPI 1003778101
- Kelvin VannStudent in an Organized Health Care Education/Training Program Fayetteville, AR NPI 1023381894
- Luke Tollett, MDStudent in an Organized Health Care Education/Training Program Fayetteville, AR NPI 1023847225
- Tony Scott Roller Ii, MDStudent in an Organized Health Care Education/Training Program Fayetteville, AR NPI 1023863255
About NPI 1043368335
Jeffrey Anothony Bonacci, DA, ATC's National Provider Identifier is 1043368335, issued on Jan 5, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 8, 2007.