Individual
COLT MANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16966 CITY CENTER DR, LENEXA, KS 66219-8201
(913) 308-0300
Mailing address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266
(630) 468-1836
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-06252
KS
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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