Individual provider · Type 1 NPI

Richard Bonsra Fynn, MD, DPM

Foot & Ankle Surgery Podiatrist · Bridgeton, MO

NPI number 1093366064 Active

Practice location

12303 Depaul Drive
Bridgeton, MO 63044

Fax (314) 344-7258

Mailing address

285 Boston Dr
North Salt Lake, UT 84054-6076

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X2026030445 (MO)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1093366064

Richard Bonsra Fynn, MD, DPM's National Provider Identifier is 1093366064, issued on Sep 21, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bridgeton, MO. The record was last updated on Jul 20, 2026.