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Organization
MANZER FAMILY MEDICINE, LLC
Active
Organization
MANZER FAMILY MEDICINE, LLC
Active
Other names
Jonathan Manzer
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LYLE MANZER M.D. (PHYSICIAN)
(417) 358-4811
Entity
Organization
Contact information
Practice address
3071 S GRAND AVE, CARTHAGE, MO 64836-7851
(417) 358-4811
Mailing address
3071 S GRAND AVE, CARTHAGE, MO 64836-7851
(417) 358-4811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004001464
MO
Other
Enumeration date
02/28/2007
Last updated
11/25/2013
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