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Individual

MR. ELMAR MANAFOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., CNIM

Contact information

Practice address
13 S TEJON ST STE 501, COLORADO SPRINGS, CO 80903-1530
(214) 597-7876
Mailing address
100 W 5TH ST UNIT 6C, LONG BEACH, CA 90802-2364
(214) 597-7876

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
05/22/2012
Last updated
05/22/2012
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