Individual
DR. MANNTEJ S SRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13943 N 91ST AVE, BUILDING A, SUITE 102, PEORIA, AZ 85381-3629
(602) 705-1353
(623) 815-8299
Mailing address
13943 N 91ST AVE, BUILDING A, SUITE 102, PEORIA, AZ 85381-3629
(602) 705-1353
(623) 815-8299
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28033
AZ
Other
Enumeration date
08/05/2006
Last updated
07/16/2023
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