Individual
DR. ROBERT J MANLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8010 FROST ST, SAN DIEGO, CA 92123-2778
(858) 939-8350
(858) 939-8360
Mailing address
8010 FROST ST, SAN DIEGO, CA 92123-2778
(858) 939-8350
(858) 939-8360
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G43872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G438720
—
CA
Enumeration date
08/08/2006
Last updated
08/26/2015
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