Provider Demographics
NPI:1386695567
Name:MONO, GARY S (DO)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:S
Last Name:MONO
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Gender:M
Credentials:DO
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Mailing Address - Street 1:10001 S EASTERN AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-3907
Mailing Address - Country:US
Mailing Address - Phone:702-617-1981
Mailing Address - Fax:702-616-1105
Practice Address - Street 1:10001 S EASTERN AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-3907
Practice Address - Country:US
Practice Address - Phone:702-617-1981
Practice Address - Fax:702-616-1105
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2008-06-05
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Provider Licenses
StateLicense IDTaxonomies
NVD.O. 564208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019181Medicaid
NVNV6171OtherBCBS
NV002019181Medicaid
NVA75987Medicare UPIN