Individual provider · Type 1 NPI

Charles Edward Bonfanti, PA

Physician Assistant · Taos, NM

NPI number 1295792570 Active · reactivated Aug 3, 2007

Practice location

630 Paseo Del Pueblo Sur, Suite 150
Taos, NM 87571-6070

Call (575) 758-3005 Map

Fax (575) 758-7010

Mailing address

PO Box 158, Suite 150
Espanola, NM 87532-0158

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X75-PA002 (NM)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295792570

Charles Edward Bonfanti, PA's National Provider Identifier is 1295792570, issued on Apr 28, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Taos, NM. The record was last updated on Feb 3, 2017.