HomeNPI Verification

NPI Verification

National Provider Identifier: 1225054109

James Theodor Bonucchi, DO

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

960 E WALNUT LAWN

SUITE 201

SPRINGFIELD, MO 65807

Phone: 417-269-4450

NPI Enumeration Date

July 14, 2006

NPI Number

1225054109

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry