Individual
ANTHONY SHON MONOESSY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8501 NW MADISCHE RD, LAWTON, OK 73507-1221
(580) 514-4537
Mailing address
8501 NW MADISCHE RD, LAWTON, OK 73507-1221
(580) 492-3614
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/11/2022
Last updated
02/11/2022
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