Individual
JARED K. MANWARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2375 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 552-1234
(208) 529-1948
Mailing address
2375 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 552-1234
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M-14260
ID
Other
Enumeration date
04/22/2013
Last updated
06/07/2021
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