Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWIN R BONILLA, MD
Active Sole ProprietorDR. EDWIN R BONILLA, MD is a Family Medicine healthcare provider located in DERIDDER, Louisiana. NPI 1891806121 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DERIDDER, LA
Registration Details
- NPI Number
- 1891806121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.950980935244 yrs)
- Last Updated
- Apr 8, 2015
- License
-
08674 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
403 W 8TH STDERIDDER, LA, 706345507Browse LA providers · Browse ZIP 70634
- Phone
- 3374638977
- Fax
- 3374623093
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in DERIDDER, LA
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER LEE GRANGER | MD | 1861472110 |
| DR. FLYNN A TAYLOR I | M.D. | 1174585897 |
| DR. RANDALL COY DUPLECHAIN | MD | 1417963083 |
| DR. WARREN WALTER GREMMEL JR. | MD | 1639285711 |
| DR. JEFFREY DOBBINS | M.D. | 1275845091 |
| JONATHON SOSSAMON | — | 1114304375 |
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.