NPI 1043579329

Tara Bonham

Practitioner Other Technician Cedar City, UT

Practice location

Address: 170 Altamira Avenue, Cedar City, UT 84720
Phone: (435) 586-0213
Mailing address: 381 N 300 W, Cedar City, UT 84721-3547

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Utah →

Registry record

NPI: 1043579329
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2012
Record last updated: 8 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.