Individual
DR. PAUL D BONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 S BYRON BLVD, CHAMBERLAIN, SD 57325-9741
(605) 234-6551
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16666
SD
207L00000X
Anesthesiology Physician
35414
CO
207L00000X
Anesthesiology Physician
CDRH0035414
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015701
KAISER COMMERCIAL
CO
05
—
26503247
—
CO
Enumeration date
02/27/2007
Last updated
01/16/2026
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