Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLOS RODOLFO BOCANEGRA CORDOVA, PA-C
ActiveCARLOS RODOLFO BOCANEGRA CORDOVA, PA-C is a Physician Assistant healthcare provider located in CHAMPAIGN, Illinois. NPI 1376166264 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1376166264
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2020 (6.2555960112338 yrs)
- Last Updated
- Jun 17, 2020
- License
-
085.007669 (IL)
Practice Information
- Address
-
819 BLOOMINGTON RDCHAMPAIGN, IL, 618202101Browse IL providers · Browse ZIP 61820
- Phone
- 2173561558
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MR. BRIAN NEAL SHORE | PA C | 1376544585 |
| MR. GREGORY LEE MARTINDILL | PA | 1609860782 |
| KORI L CARROLL | PA | 1598752628 |
| MS. HEATHER KONZELMANN | PA | 1720066251 |
| SHELLY JO REITEN | PAC | 1114994928 |
| ALLEN THOMAS | P.A.-C | 1033136635 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.