Jacob Bonilla
NPI #1417300096 in Douglas, Arizona
Provider Information
- NPI Number
- 1417300096
- Entity Type
- Individual
- Name
- Jacob Bonilla
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Jul 19, 2016
- Last Updated
- Mar 21, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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