Individual
DR. BRUCE R. MONACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 WEST 7TH ST., CHANUTE, KS 66720-2516
(620) 432-5775
(620) 431-1106
Mailing address
PO BOX 426, CHANUTE, KS 66720-0426
(620) 432-5775
(620) 431-1106
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-051877
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
04-39687
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051877 2
—
IL
05
—
08673018
—
MS
05
—
1813885
—
LA
01
—
279500
MEDICARE GROUP
—
01
—
P00058346
RAILROAD MEDICARE
—
Enumeration date
08/03/2006
Last updated
02/14/2017
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