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NPI Code Detail

MEDICARE: DR. JOSEPH LEONARD MONAHAN III D.O.

MEDICARE: DR. JOSEPH LEONARD MONAHAN III D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician02307IA
2207P00000XEmergency Medicine Physician02307IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609870260
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH LEONARD MONAHAN III D.O.
Provider Business Mailing Address
First Line : 915 13TH AVE N
Second Line :
City : CLINTON
State : IA
Zip : 52732-5067
Country : US
Telephone Number : 563-243-2511
Fax Number :
Provider Business Practice Location Address
First Line : 915 13TH AVE N
Second Line :
City : CLINTON
State : IA
Zip : 52732-5067
Country : US
Telephone Number : 563-243-2511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 03/17/2018

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