Individual
DR. SAMAN MANZOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17218 N 72ND DR, GLENDALE, AZ 85308-8580
(623) 773-2848
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010982
AZ
207R00000X
Internal Medicine Physician
SL1716
NV
Other
Enumeration date
05/17/2021
Last updated
08/14/2024
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