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Individual
DR. PHILIP M MANZANO
Active
Individual
DR. PHILIP M MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67232
AZ
207Q00000X
Family Medicine Physician
MD2022-1994
NM
207Q00000X
Family Medicine Physician
RS2019-0439
NM
Other
Enumeration date
06/06/2019
Last updated
09/23/2024
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