Individual
VICTOR BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
721 55TH ST S, GREAT FALLS, MT 59405-5814
(406) 452-4881
Mailing address
721 55TH ST S, GREAT FALLS, MT 59405-5814
(406) 452-4881
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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