Individual
JARED R MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1281 N 600 E, LOGAN, UT 84341-6988
(435) 716-6400
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M11401
ID
207RX0202X
Medical Oncology Physician
Primary
6360337-1205
UT
207RX0202X
Medical Oncology Physician
M11401
ID
Other
Enumeration date
06/19/2008
Last updated
10/09/2023
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