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Individual

MRS. SUSAN MANN-SWEENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3377 RIVERBEND DR., PEDIATRICS, SPRINGFIELD, OR 97477
(541) 222-8500
(541) 222-6435
Mailing address
3377 RIVERBEND DR., PEDIATRICS, SPRINGFIELD, OR 97477-8004
(541) 222-8500
(541) 222-6435

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
19006
AZ
208000000X
Pediatrics Physician
Primary
MD172023
OR
208000000X
Pediatrics Physician
ME96215
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00014248
BANNER HEALTH PLAN
AZ
01
019006
MAYO INSURANCE
AZ
01
1Z6556
HEALTHNET
AZ
05
276325700
FL
05
288242
AZ
01
2882420
DEPT OF ECONOMIC SECURITY
AZ
01
288242003
APIPA INSURANCE
AZ
01
860224023
UNITED HEALTHCARE
AZ
01
AZ0823650
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
02/06/2006
Last updated
06/22/2018
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