DR. Rafael Andres Bonilla Vasquez, M.D.

NPI #1871975896 in Lebanon, Missouri

Provider Information

NPI Number: 1871975896
Entity Type: Individual
Name: DR. Rafael Andres Bonilla Vasquez, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Jun 25, 2015
Last Updated: Jun 28, 2020

Practice Location

Address: 120 HOSPITAL DR STE 200
City: Lebanon
State: Missouri
ZIP Code: 65536-9227
Phone: (417) 533-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Surgery	208600000X	Primary

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