person
Ms. Susan Bonfiglio, PA-C
Medical Physician Assistant in Phoenix, Arizona
NPI 1427036847

Susan Bonfiglio is a Medical Physician Assistant based in Phoenix, AZ and is specialized in Medical. Susan Bonfiglio practices in Phoenix, AZ and has the professional credentials of PA-C. The NPI Number for Susan Bonfiglio is 1427036847 and holds a License No. 383 (Arizona).

The current practice location address for Susan Bonfiglio is 4212 N 16Th St, Phoenix, AZ and can be reached out via phone at 602-200-5325 and via fax at 602-200-5335.

Location: 4212 N 16Th St, Phoenix, AZ, 85016-5319
person
Provider Profile Details
NPI Number
1427036847
Provider Name
Susan Bonfiglio
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4212 N 16Th St, Phoenix, AZ, 85016-5319
Phone Number
602-200-5325
Fax Number
602-200-5335
Provider Enumeration Date
01/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97375578 05 CO
institution
Provider Business Practice Location Address Details
Address
4212 N 16Th St
City
State
Zip
85016-5319
Phone Number
602-200-5325
Fax Number
602-200-5335
person
Provider Business Mailing Address Details
Address
4212 N 16Th St
City
State
Zip
85016-5319
Phone Number
602-200-5325
Fax Number
602-200-5335
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
383 (Colorado)
Definition
Definition to come...
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