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Individual

JOHN MANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 W ARBOR DR, MC 8894, SAN DIEGO, CA 92103-9000
(619) 543-7247
Mailing address
12040 NE 128TH ST, MS-50, KIRKLAND, WA 98034-3013
(425) 899-1920

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A143228
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD61083660
WA

Other

Enumeration date
05/15/2014
Last updated
09/11/2020
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