Healthcare Provider Details

I. General information

NPI: 1487187969
Provider Name (Legal Business Name): ROBERT A BONDI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2017
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 NE TUDOR RD
LEES SUMMIT MO
64086-5696
US

IV. Provider business mailing address

224 NE TUDOR RD
LEES SUMMIT MO
64086-5696
US

V. Phone/Fax

Practice location:
  • Phone: 816-525-4778
  • Fax: 816-525-5761
Mailing address:
  • Phone: 816-525-4778
  • Fax: 816-525-5761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT A BONDI
Title or Position: OWNER
Credential: DPM
Phone: 816-525-4778