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Contact Information

LOUIS M BONACORSI, MD
3015 N BALLAS RD
DEPT RADIOLOGY
SAINT LOUIS, MO63131-2329
 Phone: 314-996-5170
 Fax: 314-996-4261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for LOUIS M BONACORSI · (Male)

NPI Number 1043660780
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2016
Last updated 04/15/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2022007204
  • MO Medicaid 200106981
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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