Individual
DR. DAVID MONAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-4394
(662) 377-7045
Mailing address
PO BOX 3294, TUPELO, MS 38803-3294
(662) 377-4394
(662) 377-7045
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24367
MS
207L00000X
Anesthesiology Physician
T-2580
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24367
MISSISSIPPI BOARD OF MEDICAL LICENSURE
MS
01
—
T-2580
TEMPORARY MEDICAL LICENSE
MS
Enumeration date
06/29/2012
Last updated
06/22/2016
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