Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2016023327 | MO |
N | 111NI0900X | Internist | 2016023327 | MO |
N | 207RC0200X | Critical Care Medicine | 2016023327 | MO |
Y | 207RP1001X | Pulmonary Disease | 2016023327 | MO |
NPI | 1073872552 |
---|---|
Provider Name | Alberto F. Monegro |
First Address | Columbia, MO 65201-5844 |
Second Address | Columbia, MO 65201-5844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2012 |
Last Update Date | 19/12/2018 |