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Individual

RICHARD A MANCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6677 THUNDERBIRD ROAD, BUILDING G, #116, GLENDALE, AZ 85306
(148) 068-6887
Mailing address
2201 W FAIRVIEW ST STE 9, CHANDLER, AZ 85224-4711
(480) 407-4000
(480) 686-8875

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
7079
AZ
207RI0008X
Hepatology Physician
Primary
7079
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275108
AZ
Enumeration date
03/17/2006
Last updated
01/12/2020
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