Individual
MR. MARK A MANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
120 NE SAINT LUKES BLVD, STE 200, LEES SUMMIT, MO 64086-6000
(816) 246-4302
Mailing address
120 NE SAINT LUKES BLVD, STE 200, LEES SUMMIT, MO 64086-6000
(816) 246-4302
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2008025051
MO
Other
Enumeration date
04/19/2010
Last updated
10/07/2016
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