Individual
JOHN M ONOFRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2991
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
(573) 884-8526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR1D37
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00259193
RR MEDICARE
MO
Enumeration date
05/16/2006
Last updated
09/11/2007
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