Organization
ANDREW B MANGUM MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW BARTON MANGUM MD (PHYSICIAN)
(480) 425-2160
Entity
Organization
Contact information
Practice address
2421 E SOUTHERN AVE, SUITE 1, TEMPE, AZ 85282
(480) 425-2160
(480) 351-8797
Mailing address
2421 E SOUTHERN AVE, SUITE 1, TEMPE, AZ 85282
(480) 425-2160
(480) 351-8797
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46332
AZ
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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