Individual
DR. EDWARD L MANGOSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3700
Mailing address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-28789
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100372160E
—
KS
Enumeration date
05/16/2006
Last updated
04/25/2013
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