Individual
DR. MANGIL SEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4505 SW 9TH ST, SUITE #1, DES MOINES, IA 50315-3939
(515) 287-7111
(515) 287-7114
Mailing address
4505 SW 9TH ST, SUITE #1, DES MOINES, IA 50315-3939
(515) 287-7111
(515) 287-7114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19652
IA
208600000X
Surgery Physician
Primary
19652
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080598
—
IA
Enumeration date
08/12/2006
Last updated
09/11/2025
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