Individual
CARL R MANTHEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10120 S EASTERN, #200, HENDERSON, NV 89052
(702) 473-5455
(702) 405-7960
Mailing address
10120 S EASTERN, #200, HENDERSON, NV 89052
(702) 473-5455
(702) 405-7960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
282
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200211502
—
NV
Enumeration date
08/17/2005
Last updated
01/04/2011
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