Individual
DR. SONJAY JOSEPH FONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
65 DOCTORS PARK STE A, CAPE GIRARDEAU, MO 63703-4927
(573) 651-1687
(573) 651-8734
Mailing address
65 DOCTORS PARK STE A, CAPE GIRARDEAU, MO 63703-4927
(573) 651-1687
(573) 651-8734
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2008003433
MO
390200000X
Student in an Organized Health Care Education/Training Program
58.001982
OH
Other
Enumeration date
05/02/2007
Last updated
11/05/2024
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