Individual
CATHERINE A BONOMO
Active
Individual
CATHERINE A BONOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5005161205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522476
—
AZ
05
—
D3440
—
UT
Enumeration date
09/30/2005
Last updated
07/08/2007
Update your record
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