Individual
DR. MARC ALBERT BONACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
5814
AZ
Other
Enumeration date
10/02/2006
Last updated
07/06/2012
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