Individual provider · Type 1 NPI

Sonny Rull

Medical Physician Assistant · San Bernardino, CA

NPI number 1235463019 Active

Practice location

2101 N Waterman Ave
San Bernardino, CA 92404-4836

Call (909) 883-8711 Map

Mailing address

3614 Elizabeth St
Riverside, CA 92506-2506

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA20537 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1235463019

Sonny Rull's National Provider Identifier is 1235463019, issued on Sep 25, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Bernardino, CA. The record was last updated on Sep 25, 2009.