Carlos Rodolfo Bocanegra Cordova, PA-C

NPI #1376166264 in Champaign, Illinois

Provider Information

NPI Number
1376166264
Entity Type
Individual
Name
Carlos Rodolfo Bocanegra Cordova, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
May 26, 2020
Last Updated
Jun 17, 2020

Practice Location

Address
819 BLOOMINGTON RD
ZIP Code
61820-2101
Phone
(217) 356-1558

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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