Individual
BRETT MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
(479) 785-0732
Mailing address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
(479) 785-0732
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-12759
AR
207Q00000X
Family Medicine Physician
E-12759
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238553001
—
AR
Enumeration date
05/20/2018
Last updated
12/15/2022
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