Bruce A. Bolonesi, PA-C

NPI #1619928199 in Murray, Utah

Provider Information

NPI Number: 1619928199
Entity Type: Individual
Name: Bruce A. Bolonesi, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 12, 2006
Last Updated: Oct 17, 2011

Practice Location

Address: 5131 COTTONWOOD ST # L-2
City: Murray
State: Utah
ZIP Code: 84107-5701
Phone: (801) 263-3416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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