Individual
DR. MITCHELL RYAN MANWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20401 N 73RD ST STE 230, SCOTTSDALE, AZ 85255-4153
(480) 556-0446
(480) 556-0447
Mailing address
20401 N 73RD ST, SUITE 230, SCOTTSDALE, AZ 85255-4107
(480) 556-0446
(480) 556-0447
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
7027
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
7027
AZ
208D00000X
General Practice Physician
007027
AZ
208D00000X
General Practice Physician
OS13524
FL
Other
Enumeration date
04/30/2014
Last updated
02/20/2024
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