Individual
PHILIP M MONKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
MDX0000003440
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4011132
BCBS
TN
Enumeration date
10/10/2006
Last updated
07/08/2007
Update your record
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