Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joseph Bonanno, MD

Individual provider Pediatrics Physician · NPI 1245234822

Joseph Bonanno, MD is a Pediatrics Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4137 N 108th Ave
Phoenix, AZ 85037-5459
Phone: (623) 877-7337
Fax: (623) 772-0686
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 19131 (AZ)

Record details

NPI number1245234822
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2005
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address4137 N 108th Ave, Phoenix, AZ 85037-5459

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