Patrick Corkrean Bonasso II
Surgery, Pediatric Surgery in Morgantown, WV. Individual provider (NPI-1).
NPI number1164765830
StatusActive
Last updated in NPPESDec 10, 2022
Details
- NPI
- 1164765830
- Entity type
- Individual (NPI-1)
- Name
- Mr. Patrick Corkrean Bonasso II
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2013
- Certification date
- Dec 10, 2022
- Last updated
- Dec 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | 26258 | WV | Yes |
Practice location
1 Medical Center DrMorgantown, WV 26506-1200
Phone 855-988-2273
Mailing address
Po Box 780Morgantown, WV 26507-0780
Phone 304-285-7101
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Other Pediatric Surgery Physician providers in Morgantown, WV
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