Individual
DR. JAMES KEITH MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37 EL RANCHO DR, HANNIBAL, MO 63401-6550
(573) 248-1265
Mailing address
37 EL RANCHO DR, HANNIBAL, MO 63401-6550
(573) 248-1265
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MDL 2001001576
MO
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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