Individual
MARIANO VITTORIO MANISCALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3555 S VAL VISTA DR, GILBERT, AZ 85297-7323
(480) 728-8000
Mailing address
9715 E ASBURY AVE, SAN TAN VALLEY, AZ 85143-8806
(262) 501-2611
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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