Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE A. BOLONESI, PA-C
ActivePhysician Assistant · MURRAY, UT
Registration Details
- NPI Number
- 1619928199
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2006 (19.945017365089 yrs)
- Last Updated
- Oct 17, 2011
- License
-
106591-1206 (UT)
Practice Information
- Address
-
5131 COTTONWOOD ST # L-2MURRAY, UT, 841075701Browse UT providers · Browse ZIP 84107
- Phone
- 8012633416
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MURRAY, UT
| Name | Credential | NPI |
|---|---|---|
| STEVE MASON | PAC | 1891764965 |
| MR. MICHAEL HANS FERGUSON | P.A. | 1982629200 |
| MR. TERENCE JOHN POWERS | P.A. | 1114942448 |
| MR. PERRY EUGENE HALL | P.A. | 1164442125 |
| CASSITY WRIGHT BALLENTINE | PA-C | 1790790111 |
| GAYLA GILCHRIST | PA-C | 1679580716 |
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.