Individual
MATTHEW WILLIAM MANRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 DRY CREEK DR, LONGMONT, CO 80503
(303) 772-3300
(303) 682-3380
Mailing address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 569-3741
(513) 569-3941
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
DR.0060309
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000163774
—
CO
Enumeration date
05/25/2011
Last updated
07/31/2018
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