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Search › Utah › 1041C0700X

Rodolfo Bonilla, CSW

NPI 1639797384 · on the registry since 2020

Practice

Address
750 Round Valley Dr
Park City, UT 84060
Phone
(435) 655-0926
Organisation at this address
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Park City Clinic Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-09

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 Utah