Individual
PAUL P MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18854 HIGHWAY 30, HAGERMAN, ID 83332-6050
(208) 837-4557
(630) 604-1735
Mailing address
18854 HIGHWAY 30, HAGERMAN, ID 83332-6050
(208) 837-4557
(630) 604-1735
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G29843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G298430
—
CA
Enumeration date
04/17/2006
Last updated
12/20/2010
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