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Organization

HEALTH STATUS EVALUATIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUBERT F BONFILI M.D. (MEDICAL DIRECTOR)
(336) 744-7171
Entity
Organization

Contact information

Practice address
3801 N LIBERTY ST, SUITE 210 SMITH REYNOLDS AIRPORT TERMINAL, WINSTON SALEM, NC 27105-3968
(336) 744-7171
(336) 744-7182
Mailing address
3801 N LIBERTY ST, SUITE 210 SMITH REYNOLDS AIRPORT TERMINAL, WINSTON SALEM, NC 27105-3968
(336) 744-7171
(336) 744-7182

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
9300041
NC

Other

Enumeration date
11/08/2006
Last updated
08/22/2020
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