Organization
T&D HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE MANOS MD (PRESIDENT)
(623) 680-6547
Entity
Organization
Contact information
Practice address
30099 N 129TH DR, PEORIA, AZ 85383-5267
(928) 501-6666
Mailing address
30099 N 129TH DR, PEORIA, AZ 85383-5267
(623) 680-6547
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00023598
WA
208VP0014X
Interventional Pain Medicine Physician
MD00023598
WA
Other
Enumeration date
01/27/2017
Last updated
04/29/2019
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