Individual
DR. DUSTIN EDWARD MONROE
Active
Individual
DR. DUSTIN EDWARD MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10255195-1205
UT
208000000X
Pediatrics Physician
47602
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
10255195-1205
UT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
10255195-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825752
—
AZ
01
—
MD47602
LICENSE
AZ
Enumeration date
07/08/2010
Last updated
07/21/2022
Update your record
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