Individual
BERNARD JOSEPH CANZONERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1532 W 32ND ST STE 302, JOPLIN, MO 64804-1639
(417) 347-8590
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
2024001047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029287798
—
MS
05
—
1040959
—
LA
01
—
1420R
BCBS
NC
Enumeration date
07/16/2006
Last updated
09/08/2025
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