Organization
MISSOURI VALLEY RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY S MONFORE MD (OWNER AND PROVIDER)
(605) 224-3199
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025345700
—
NE
01
—
DE5611
RAILROAD MEDICARE
—
Enumeration date
07/21/2006
Last updated
02/21/2013
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