Individual
DR. BARRY ELLIS MANTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 W SANTA ELENA RD, PALM SPRINGS, CA 92262-2926
(760) 464-3892
(760) 323-7259
Mailing address
420 W SANTA ELENA RD, PALM SPRINGS, CA 92262-2926
(760) 464-3892
(760) 323-7259
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G40977
CA
Other
Enumeration date
11/01/2006
Last updated
04/20/2009
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