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Individual

TALON MANINGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
620 W 32ND ST, JOPLIN, MO 64804-2549
(417) 540-7880
Mailing address
620 W 32ND ST, JOPLIN, MO 64804-2549

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1406
NE
207Y00000X
Otolaryngology Physician
Primary
2012005133
MO
207Y00000X
Otolaryngology Physician
2858
TN
207Y00000X
Otolaryngology Physician
73609
GA

Other

Enumeration date
04/21/2010
Last updated
07/19/2016
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