Individual
DR. GREGORY SCOTT MANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
(937) 395-6668
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.008862
OH
208M00000X
Hospitalist Physician
Primary
34.008862
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2769133
—
OH
Enumeration date
05/03/2007
Last updated
12/06/2024
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