Individual
JONATHAN LYLE MANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3071 S GRAND AVE, CARTHAGE, MO 64836-7851
(417) 358-4811
(417) 358-4781
Mailing address
3071 S GRAND AVE, CARTHAGE, MO 64836-7851
(417) 358-4811
(417) 358-4781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004001464
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209288406
—
MO
Enumeration date
08/19/2005
Last updated
09/16/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us