Mona Mynnel Tara, MD
NPI #1770572380 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1770572380
- Entity Type
- Individual
- Name
- Mona Mynnel Tara, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine
- Credential
- MD
- Enumeration Date
- Oct 17, 2005
- Last Updated
- Dec 1, 2010
Practice Location
- Address
- 714 NW 5TH ST
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-1529
- Phone
- (541) 244-2292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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