Daniel Bonilla, CRNA | |
1717 Arlington Ave, Caldwell, ID 83605-4802 | |
(208) 459-4641 | |
Not Available |
Full Name | Daniel Bonilla |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1717 Arlington Ave, Caldwell, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386408730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 78711 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Daniel Bonilla, CRNA 1717 Arlington Ave, Caldwell, ID 83605-4802 Ph: () - | Daniel Bonilla, CRNA 1717 Arlington Ave, Caldwell, ID 83605-4802 Ph: (208) 459-4641 |
Larry Edgerton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-455-3940 | |
Shad B Westover, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-455-4009 |