Individual provider · Type 1 NPI

Jo Jaeger Bonner, MD

Specialist · St. Louis, MO

NPI number 1982701371 Active

Practice location

12680 Olive Blvd., Ste. 200
St. Louis, MO 63141

Call (314) 251-8892 Map

Fax (314) 251-8894

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X36705 (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.

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About NPI 1982701371

Jo Jaeger Bonner, MD's National Provider Identifier is 1982701371, issued on Sep 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 21, 2010.