# DR. JOSEPH DOMINIC MANGONE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952635583
- **Gender:** Man
- **Credential:** D.O., M.P.H.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 163WP0200X | AZ | — |
| 208M00000X | Hospitalist Physician | 005804 | AZ | Yes |

## Other

- **Enumeration date:** 09/30/2009
- **Last updated:** 01/17/2018