Organization
MICHAEL S MANDERSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S MANDERSON MD (PRESIDENT)
(806) 322-1333
Entity
Organization
Contact information
Practice address
13 MEDICAL DR, AMARILLO, TX 79106-4121
(806) 322-1333
Mailing address
13 MEDICAL DR, AMARILLO, TX 79106-4121
(806) 322-1333
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K5614
TX
Other
Enumeration date
03/21/2007
Last updated
03/12/2008
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