Individual
MICHAEL JEROME MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 E JOHNSON ST, HOLYOKE, CO 80734-1854
(970) 854-2241
(970) 458-4581
Mailing address
PO BOX 1175, ENGLEWOOD, CO 80150-1175
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22502
CO
207Q00000X
Family Medicine Physician
DR.0022502
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01225028
—
CO
01
—
930080436
PAILROAD MEDICARE PIN
CO
Enumeration date
12/29/2005
Last updated
10/05/2022
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