# TALON MANINGAS D.O. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730539974
- **Authorized official:** TALON MANINGAS (MEMBER)
- **Authorized official phone:** (417) 540-7880

## Contact information

- **Practice address:** 620 W 32ND ST STE B, JOPLIN, MO 64804-2528
- **Practice address phone:** (417) 437-0303
- **Mailing address:** 620 W 32ND ST STE B, JOPLIN, MO 64804-2528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 2012005133 | MO | Yes |

## Other

- **Enumeration date:** 06/19/2016
- **Last updated:** 06/19/2016