Individual
BARBARA JOY FONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH FCCP ABSM
Contact information
Practice address
6812 STATE RTE 162 SUITE 202, MARYVILLE, IL 62062
(618) 288-6844
(618) 288-6852
Mailing address
6812 STATE RTE 162 SUITE 202, MARYVILLE, IL 62062
(618) 288-6844
(618) 288-6852
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-105231
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
109204
MO
207RP1001X
Pulmonary Disease Physician
036-105231
IL
207RP1001X
Pulmonary Disease Physician
109204
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437141090
—
MO
Enumeration date
08/19/2005
Last updated
05/15/2020
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