Individual
ANTHONY JOHN MANNINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8550 W 38TH AVE, STE 202, WHEAT RIDGE, CO 80033-4342
(303) 940-1661
(303) 431-8708
Mailing address
8550 W 38TH AVE, STE 202, WHEAT RIDGE, CO 80033-4342
(303) 940-1661
(303) 431-8708
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
30188
CO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
30188
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01301886
—
CO
Enumeration date
05/31/2005
Last updated
03/27/2012
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