Healthcare Provider Details

I. General information

NPI: 1053795658
Provider Name (Legal Business Name): MONUMENT MANAGEMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 03/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S IRONWOOD DR. SUITE F601
APACHE JUNCTION AZ
85120-5002
US

IV. Provider business mailing address

777 S MOON RD
APACHE JUNCTION AZ
85119-7536
US

V. Phone/Fax

Practice location:
  • Phone: 480-980-9773
  • Fax:
Mailing address:
  • Phone: 480-980-9773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8487
License Number StateAZ

VIII. Authorized Official

Name: DR. WILLIAM E CLEMENT
Title or Position: DIRECTOR
Credential: D.C.
Phone: 480-980-9773