Individual
DR. BONNIE R DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL DOCTOR
Contact information
Practice address
330 WIEGEL DR, SAINT LOUIS, MO 63135-2961
(314) 755-2273
Mailing address
330 WIEGEL DR, SAINT LOUIS, MO 63135-2961
(314) 755-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5335271
MO
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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