Individual
THOMAS RALPH MONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
945 HILDEBRAND LN NE, SUITE 100, BAINBRIDGE ISLAND, WA 98110-2877
(206) 991-2121
(206) 991-2151
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00024068
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224869
LABOR & INDUSTRIES
WA
01
—
3643756
CIGNA
—
01
—
4203823
AETNA
—
05
—
8385437
—
WA
01
—
9454MO
REGENCE
—
Enumeration date
08/04/2006
Last updated
10/08/2020
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