Individual
BERNARD ALBERT MANGONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.V.M.
Contact information
Practice address
7771 N 43RD AVE, PHOENIX, AZ 85051-5712
(602) 841-1200
Mailing address
16021 N 7TH DR, PHOENIX, AZ 85023-4437
(602) 695-5477
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
3371
AZ
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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