Individual
DR. MATTHEW S BONELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CL0242
NV
207Q00000X
Family Medicine Physician
DR.0063809
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029208
KAISER COMMERCIAL NUMBER
CO
Enumeration date
04/13/2018
Last updated
06/18/2025
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