Individual provider · Type 1 NPI

Eduardo Bonilla, INTERN

Student in an Organized Health Care Education/Training Program · St. George, UT

NPI number 1811587645 Active

Practice location

474 W 200 N
St. George, UT 84770-4505

Call (435) 634-5600 Map

Mailing address

130 Essex St # 34A
South Hamilton, MA 01982-2395

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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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About NPI 1811587645

Eduardo Bonilla, INTERN's National Provider Identifier is 1811587645, issued on Jan 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. George, UT. The record was last updated on Jan 25, 2021.