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Individual

SHAWN PATRICK MCMANUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
680 E MAIN ST, LEHI, UT 84043-2241
(801) 768-1699
(801) 768-4526
Mailing address
226 N 1100 E STE A, AMERICAN FORK, UT 84003-2054
(801) 855-3844
(801) 855-3854

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7925558-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376707323
UT
01
P00918761
RAILROAD MEDICARE
MN
Enumeration date
07/17/2008
Last updated
01/15/2015
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