Provider Demographics
NPI:1437183035
Name:MONASH, JEFFREY BRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:BRIAN
Last Name:MONASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3925 E FORT LOWELL RD STE 104
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1053
Mailing Address - Country:US
Mailing Address - Phone:520-319-6000
Mailing Address - Fax:520-319-6001
Practice Address - Street 1:3925 E FORT LOWELL RD STE 104
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1053
Practice Address - Country:US
Practice Address - Phone:520-319-6000
Practice Address - Fax:520-319-6001
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301075047208600000X
CAA96308208600000X
AZ37196208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery