Doctor Name: | BARRY S MONFORE |
NPI Number: | 1225051873 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4236 |
Business Practice Address: | 800 E Dakota Ave Pierre, SD - 575013313 |
Business Phone Number: | 6052243199 |
Business Fax Number: | 6059453237 |
Mailing Address: | 1601 N Harrison Ave Ste 1b, PIERRE |
State: | SD |
Postal Code: | 575012376 |
Phone Number: | 6059451371 |
Fax Number: | 6059453237 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 02/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 4236 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |