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Organization
MICHAEL S MANCINA MD AND ASSSOCIATES OF CALIFORNIA
Active
Organization
MICHAEL S MANCINA MD AND ASSSOCIATES OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MANCINA (MD)
(913) 888-8866
Entity
Organization
Contact information
Practice address
22101 REDWOOD RD, CASTRO VALLEY, CA 94546-7107
(816) 888-8866
Mailing address
901 W 43RD ST, KANSAS CITY, MO 64111-3133
(913) 888-8866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R1G55
MO
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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