# MANZER FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jonathan Manzer
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982731444
- **Authorized official:** JONATHAN LYLE MANZER M.D. (PHYSICIAN)
- **Authorized official phone:** (417) 358-4811

## Contact information

- **Practice address:** 3071 S GRAND AVE, CARTHAGE, MO 64836-7851
- **Practice address phone:** (417) 358-4811
- **Mailing address:** 3071 S GRAND AVE, CARTHAGE, MO 64836-7851
- **Mailing address phone:** (417) 358-4811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2004001464 | MO | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 11/25/2013