Individual
MICHAEL J MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 585-4000
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 585-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0993710-CRNA
CO
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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