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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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