Individual
BARRY S MONFORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E DAKOTA AVE, PIERRE, SD 57501-3313
(605) 224-3199
(605) 945-3237
Mailing address
1601 N HARRISON AVE STE 1B, PIERRE, SD 57501-2376
(605) 945-1371
(605) 945-3237
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4236
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13900
—
ND
01
—
4994177
BCBS
SD
05
—
530033900
—
MN
05
—
7207842
—
SD
Enumeration date
07/25/2006
Last updated
02/21/2013
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