Individual provider · Type 1 NPI

John Joseph Bonacorsi, MD

Specialist · Bridgeton, MO

NPI number 1265541395 Active

Practice location

12277 De Paul Dr, Ste. 502S
Bridgeton, MO 63044-2516

Call (314) 291-5307 Map

Fax (314) 291-0838

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XR5611 (MO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

18 other providers at this address

Other specialist providers in Bridgeton

See all in Bridgeton →

About NPI 1265541395

John Joseph Bonacorsi, MD's National Provider Identifier is 1265541395, issued on Aug 30, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bridgeton, MO. The record was last updated on Sep 14, 2011.