Search › Arizona › Medical Physician Assistant
Jacob Bonilla
NPI 1417300096 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1608 S. Kings Hwy
Douglas, AZ 85607 - Phone
- (520) 805-8162
Additional practice sites
- 2817 Reilly St, Fort Bragg, NC
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Sex
- Male
- Record last updated
- 2022-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona