Individual
DR. MEGAN JANE MANTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3050 E RIVER BLUFF BLVD, OZARK, MO 65721-8807
(417) 820-5610
Mailing address
3050 E RIVER BLUFF BLVD, OZARK, MO 65721-8807
(417) 820-5610
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
072978
GA
207X00000X
Orthopaedic Surgery Physician
ME119478
FL
207X00000X
Orthopaedic Surgery Physician
Primary
PENDING
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012721100
—
FL
Enumeration date
05/11/2009
Last updated
12/06/2019
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