Individual
JOHN ALEXANDER MANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 TH AVE & C ST, SALT LAKE CITY, UT 84143-5220
(801) 507-4384
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-4384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P3925
TX
208M00000X
Hospitalist Physician
Primary
8566566-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2009
Last updated
07/21/2022
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