Organization
RONAL D MANIS JR MD INC
Active
Other names
intrepid care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLA J HUFF (OFFICE MANAGER)
(937) 773-3737
Entity
Organization
Contact information
Practice address
1752 W HIGH ST, PIQUA, OH 45356-9325
(937) 773-3737
(937) 440-4250
Mailing address
1752 W HIGH ST, PIQUA, OH 45356-9325
(937) 773-3737
(937) 440-4250
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35043967
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0837527
—
OH
Enumeration date
03/05/2008
Last updated
01/27/2011
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