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Organization

MEDIFAST TUCSON COM INCORPORATED

Active
Other names
Bard T. Manny, MD.
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD T MANNY MD (PRESIDENT)
(520) 733-2250
Entity
Organization

Contact information

Practice address
5350 E ERICKSON DR, TUCSON, AZ 85712-2822
(520) 733-2250
(520) 733-2270
Mailing address
PO BOX 14377, TUCSON, AZ 85732-4377
(520) 733-2250
(520) 733-2270

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
01/20/2016
Last updated
01/21/2016
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