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Search › Louisiana › Family Medicine Physician

Edwin Bonilla, MD

NPI 1891806121 · on the registry since 2006 · sole proprietor

Practice

Address
403 W 8th St
Deridder, LA 70634
Phone
(337) 463-8977
Fax
(337) 462-3093
Organisation at this address
Jason P Hagen, Md, Llc
Chris L Granger M D Llc
Family Healthcare Of Beauregard, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-08

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 Louisiana