Individual
BRIAN JOSEPH MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
730 24TH ST NW STE 5, WASHINGTON, DC 20037-2543
(202) 338-0770
(202) 315-3176
Mailing address
730 24TH ST NW STE 5, WASHINGTON, DC 20037-2543
(202) 338-0770
(202) 315-3176
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1705
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010232775
—
VA
05
—
037399700
—
DC
01
—
1030109
ACM
DC
05
—
409782300
—
MD
01
—
4417
CAREFIRST BCBS
DC
Enumeration date
08/20/2006
Last updated
11/15/2007
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