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Individual

MICHAEL EVERETT MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7514 E MONTEREY WAY, SUITE 1, SCOTTSDALE, AZ 85251-6900
(480) 949-7377
(480) 949-8339
Mailing address
7514 E MONTEREY WAY, SUITE 1, SCOTTSDALE, AZ 85251-6900
(480) 949-7377
(480) 949-8339

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
17209
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113358
AZ
05
13358
AZ
Enumeration date
07/21/2005
Last updated
12/18/2020
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