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Jo Bonner, M.D
NPI 1982701371 · on the registry since 2006 · sole proprietor
Practice
- Address
- 12680 Olive Blvd.
Ste. 200
St. Louis, MO 63141 - Phone
- (314) 251-8892
- Fax
- (314) 251-8894
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-01-21
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