Individual
DR. JOHN GREGORY MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6071 E WOODMEN RD STE 300, COLORADO SPRINGS, CO 80923-2613
(719) 531-7007
(719) 531-7122
Mailing address
6071 E WOODMEN RD STE 300, COLORADO SPRINGS, CO 80923-2613
(719) 531-7007
(719) 531-7122
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2009-01627
NC
208800000X
Urology Physician
Primary
DR.0052818
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48770299
—
CO
Enumeration date
06/20/2007
Last updated
08/22/2019
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