Individual
JOHN LEO MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(303) 306-7783
(303) 306-7753
Mailing address
PO BOX 17752, DENVER, CO 80217-0752
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38676
CO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
38676
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79658733
—
NM
05
—
88288587
—
CO
01
—
P00275515
RR
CO
Enumeration date
07/14/2006
Last updated
04/20/2022
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