Individual
DR. ANDREW BARTON MANGUM
Active
Individual
DR. ANDREW BARTON MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2007002740
MO
207L00000X
Anesthesiology Physician
Primary
46332
AZ
207L00000X
Anesthesiology Physician
ME104430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204456701
—
MO
Enumeration date
05/18/2007
Last updated
12/12/2022
Update your record
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