Individual
CYNTHIA A MANNINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
810 E 3RD ST, SUITE 201, DURANGO, CO 81301-5728
(970) 764-1790
(970) 375-7927
Mailing address
810 E 3RD ST, SUITE 201, DURANGO, CO 81301-5728
(970) 764-1790
(970) 375-7927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101008368
MI
207Q00000X
Family Medicine Physician
Primary
DR.0051108
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114074044
—
UT
05
—
43101852
—
CO
05
—
4961694
—
MI
05
—
51722585
—
NM
05
—
839761
—
AZ
Enumeration date
01/04/2007
Last updated
06/26/2015
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