BRUCE BOLONESI, PA-C
Physician Assistant
Active
Individual
NPI: 1619928199
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 106591-1206 (UT) |
Frequently Asked Questions
NPI 1619928199 is the National Provider Identifier for BRUCE BOLONESI, PA-C, a Physician Assistant provider located in Murray, UT. This NPI was enumerated on May 12, 2006.
BRUCE BOLONESI, PA-C practices at 5131 COTTONWOOD ST # L-2, Murray, UT 84107.
Quick Facts
- NPI
- 1619928199
- Type
- Individual
- Enumerated
- May 12, 2006
- Last Updated
- Oct 17, 2011
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