Provider Demographics
NPI:1366881971
Name:BONNONO, SCOTT AARON (MD, MS)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:AARON
Last Name:BONNONO
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:P O BOX 1467
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-1467
Mailing Address - Country:US
Mailing Address - Phone:618-457-5200
Mailing Address - Fax:618-457-0469
Practice Address - Street 1:350 N WILMOT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-2602
Practice Address - Country:US
Practice Address - Phone:520-873-3840
Practice Address - Fax:520-873-3921
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.142043207P00000X
AZ55062207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine