Individual
BONNIE B FEOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FAAP
Contact information
Practice address
520 MEDICAL DR STE 301, BOUNTIFUL, UT 84010-8927
(801) 292-1499
Mailing address
520 MEDICAL DR STE 301, BOUNTIFUL, UT 84010-8927
(801) 292-1499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3516711205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F68421
UPIN
—
Enumeration date
08/16/2006
Last updated
11/25/2015
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