Individual
DR. GEORGE THOMAS MANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 HANNAH DR, ELKO, NV 89801-2523
(775) 738-3031
Mailing address
1275 HANNAH DR, ELKO, NV 89801-2523
(775) 738-3031
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2047
NV
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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