Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN JOSEPH BONACORSI, M.D.
ActiveSpecialist · BRIDGETON, MO
Registration Details
- NPI Number
- 1265541395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.641748390878 yrs)
- Last Updated
- Sep 14, 2011
- License
-
R5611 (MO)
Practice Information
- Address
-
12277 DE PAUL DRSTE. 502SBRIDGETON, MO, 630442516Browse MO providers · Browse ZIP 63044
- Phone
- 3142915307
- Fax
- 3142910838
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. FLORDELIZ R ROSS | M.D. | 1902840218 |
| MRS. PATRICIA BOZZI | PT, CHT | 1033427257 |
| MELODY MARIE TOPOLEWSKI | LMT | 1679817381 |
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.