Individual
GARY LYNN MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3910 PECOS MCLEOD STE D100, LAS VEGAS, NV 89121-7445
(702) 629-7577
Mailing address
3910 PECOS MCLEOD STE D100, LAS VEGAS, NV 89121-7445
(702) 629-7577
(702) 933-1490
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1209
NV
Other
Enumeration date
04/23/2010
Last updated
10/07/2020
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