Provider Demographics
NPI:1508015827
Name:MONK, LARRY SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:SCOTT
Last Name:MONK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8719 E DRY CREEK RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2814
Mailing Address - Country:US
Mailing Address - Phone:303-224-3545
Mailing Address - Fax:303-224-3545
Practice Address - Street 1:8719 E DRY CREEK RD
Practice Address - Street 2:SUITE B
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2814
Practice Address - Country:US
Practice Address - Phone:303-224-3545
Practice Address - Fax:303-224-3545
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5402111N00000X
FLCH7478111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor