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Individual

ERIC D MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3929 E BELL RD, PHOENIX, AZ 85032-2112
(602) 923-5000
(818) 587-2493
Mailing address
PO BOX 80072, CITY OF INDUSTRY, CA 91716-8072
(818) 340-9988
(818) 587-2493

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2019045526
MO
207P00000X
Emergency Medicine Physician
Primary
2677
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107567-02
AZ
05
107567-04
AZ
Enumeration date
07/24/2006
Last updated
12/05/2019
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