Individual
JON C MONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
720 N WEBB RD, GRAND ISLAND, NE 68803-3310
(308) 384-2500
(308) 384-2565
Mailing address
720 N WEBB RD, GRAND ISLAND, NE 68803-3310
(308) 384-2500
(308) 384-2565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
347
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38623
BLUE CROSS BLUE SHIELD
NE
Enumeration date
07/12/2006
Last updated
04/23/2014
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