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Individual
MR. WILLIAM BRIAN MONROE
Active
Individual
MR. WILLIAM BRIAN MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ255Y
MEDICARE INDIVIDUAL PTAN LINKED TO TS
CA
01
—
AZ255Z
MEDICARE PTAN
CA
01
—
P00113619
RAILROAD MEDICARE PTAN
CA
01
—
ZZZ21297Z
MEDICARE GROUP PTAN
CA
Enumeration date
08/16/2005
Last updated
02/19/2010
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