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Montra M Kanok, MD
Otolaryngology/Facial Plastic Surgery Physician in Upland, California
NPI 1003865593

Montra M Kanok is a Otolaryngology/Facial Plastic Surgery Physician based in Upland, CA and is specialized in Otolaryngology/Facial Plastic Surgery. Montra M Kanok practices in Upland, CA and has the professional credentials of MD. The NPI Number for Montra M Kanok is 1003865593 and holds a License No. A25649 (California).

The current practice location address for Montra M Kanok is 1030 E Foothill Blvd, Upland, CA and can be reached out via phone at 909-981-5859 and via fax at 909-981-8293.

Location: 1030 E Foothill Blvd, Upland, CA, 91786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003865593
Provider Name
Montra M Kanok
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1030 E Foothill Blvd, Upland, CA, 91786
Phone Number
909-981-5859
Fax Number
909-981-8293
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A256490 05 CA
A25649 01 CA LIC
institution
Provider Business Practice Location Address Details
Address
1030 E Foothill Blvd
City
Upland
State
California
Zip
91786
Phone Number
909-981-5859
Fax Number
909-981-8293
person
Provider Business Mailing Address Details
Address
1030 E Foothill Blvd
City
Upland
State
California
Zip
91786
Phone Number
909-981-5859
Fax Number
909-981-8293
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
A25649 (California)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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