Individual
GARRETT ROY MANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2790 MOSSIDE BLVD STE G110, MONROEVILLE, PA 15146-2766
(412) 372-6330
Mailing address
295 HOPI DR, GREENSBURG, PA 15601-4954
(224) 321-8201
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA065226
PA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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