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Individual

DR. ANDREA NICOLETTE MANHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D. O,

Contact information

Practice address
4110 BRIARGATE PKWY STE 405, COLORADO SPRINGS, CO 80920-7838
(719) 365-7300
(719) 365-7301
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4034
(970) 490-4347

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
58.003193
OH
2084N0400X
Neurology Physician
Primary
DR.0061627
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34.010718
MEDICAL LICENSE
OH
05
89318
OH
Enumeration date
10/15/2009
Last updated
02/03/2021
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