Individual provider · Type 1 NPI

Edwin R. Bonilla, MD

Family Medicine Physician · Deridder, LA

NPI number 1891806121 Active

Practice location

403 W 8th St
Deridder, LA 70634-5507

Fax (337) 462-3093

Mailing address

901 Birch Dr
Deridder, LA 70634-5308

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X08674 (LA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1891806121

Edwin R. Bonilla, MD's National Provider Identifier is 1891806121, issued on Aug 31, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Deridder, LA. The record was last updated on Apr 8, 2015.