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Individual

DR. MICHAEL S MANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13 MEDICAL DR, AMARILLO, TX 79106-4121
(806) 322-1333
(806) 322-1334
Mailing address
13 MEDICAL DR, AMARILLO, TX 79106-4121
(806) 322-1333
(806) 322-1334

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
K5614
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
K5614
TX

Other

Enumeration date
04/05/2006
Last updated
10/11/2018
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