Individual
DR. MANUEL MARRUFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101238524
VA
2084N0400X
Neurology Physician
053995
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010275091
—
VA
01
—
1205863644
NPI
VA
05
—
5905670
—
NC
01
—
P00319701
RAILROAD MEDICARE
VA
Enumeration date
06/28/2006
Last updated
12/10/2016
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