Provider Demographics
NPI:1881889244
Name:MONROE, DONALD THOMAS III (RPA)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:THOMAS
Last Name:MONROE
Suffix:III
Gender:M
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 SHERIDAN AVE APT 20
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2778
Mailing Address - Country:US
Mailing Address - Phone:509-570-2036
Mailing Address - Fax:
Practice Address - Street 1:1415 SHERIDAN AVE APT 20
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2778
Practice Address - Country:US
Practice Address - Phone:509-570-2036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist