Provider Demographics
NPI:1538189097
Name:MONAGLE, JOHN K (ND)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
Last Name:MONAGLE
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1016
Mailing Address - Country:US
Mailing Address - Phone:415-314-6051
Mailing Address - Fax:
Practice Address - Street 1:1004 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1016
Practice Address - Country:US
Practice Address - Phone:415-314-6051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1271175F00000X
CA282175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath