Monroe, Dustin Edward
Monroe, Dustin Edward is an individual health care provider with primary practice located at 750 W 800 N , Orem UT 84057-3660. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Monroe, Dustin Edward can be contacted via phone (801) 714-6350.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 47602 | Arizona |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10255195-1205 | Utah |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 10255195-1205 | Utah |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 10255195-1205 | Utah |
Profile Details
NPI number | 1225340003 |
---|---|
LBN Legal business name | Monroe, Dustin Edward |
Credentials | M.D., M.B.A. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2010 |
Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225340003 | NPPES |
Arizona | Other | MD47602 | LICENSE |
Arizona | MEDICAID | 825752 | LICENSE |
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