Search › Missouri › 152W00000X
Jacquelyn Bongard, OD
NPI 1588341192 · on the registry since 2023
Practice
- Address
- 7840 Natural Bridge Rd # Pcc
Saint Louis, MO 63121 - Phone
- (314) 516-5131
- Fax
- (314) 516-5507
- Clinicians at this address
- 2
Additional practice sites
- 3940 Lindell Blvd, Saint Louis, MO
- 2421 Corporate Ctr Ste 102, Granite City, IL
- 4900 W Main St, Belleville, IL
- 12 Professional Park Dr, Maryville, IL
- 3990 N Illinois St, Swansea, IL
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri