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Individual

DR. HERSH S MANIAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1235 E CHEROKEE ST STE 2C, SPRINGFIELD, MO 65804-2203
(417) 820-3960
Mailing address
1235 E CHEROKEE ST STE 2C, SPRINGFIELD, MO 65804-2203
(417) 820-3960

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2000166685
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497965214
MO
05
ENROLLED
IL
Enumeration date
05/23/2007
Last updated
07/29/2021
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