Individual
MR. BRUCE DWAYNE MONKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1370 W D ST, N WILKESBORO, NC 28659-3506
(336) 651-8500
Mailing address
5420 SPARKS RD, HAMPTONVILLE, NC 27020-8350
(336) 468-1334
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132478
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051874
—
NC
Enumeration date
09/30/2005
Last updated
12/06/2011
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