CHARLES BONFANTI, PA

PA

Physician Assistant

NPI: 1295792570IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

75-PA002(NM)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 1975

Contact & Hours

Address: 630 PASEO DEL PUEBLO SUR, SUITE 150
TAOS, NM 87571
Phone: (575) 758-3005

Quick Facts

NPI: 1295792570
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 51

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