Individual
MR. GEOFRY D. MANZO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
301 W LINCOLN ST, SUITE 210, BELLEVILLE, IL 62220-1901
(618) 641-5800
(618) 641-5825
Mailing address
3002 CELEBRATION PARK CIRCLE, BELLEVILLE, IL 62220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000152721
MO
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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