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THOMAS EDWARD MONACHINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5393
(928) 771-5274
Mailing address
3855 W L BAR L RD, PRESCOTT, AZ 86305-5572
(515) 314-1986

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22844
AZ
207L00000X
Anesthesiology Physician
4040-320
WI
207L00000X
Anesthesiology Physician
MD61496664
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0211961
IA
05
2300410
WA
Enumeration date
08/19/2005
Last updated
05/02/2025
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