Individual
CHRISTIAN JAMES MANLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7583
AZ
Other
Enumeration date
08/19/2019
Last updated
06/10/2024
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