Individual
DR. MANDI D CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13624 W CAMINO DEL SOL, SUN CITY WEST, AZ 85375-3403
(623) 474-3937
(623) 289-7901
Mailing address
13624 W CAMINO DEL SOL STE 200B, SUN CITY WEST, AZ 85375-3401
(623) 474-3937
(623) 289-7901
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
06499
LA
207W00000X
Ophthalmology Physician
31569
AZ
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
31569
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00122904
MISSISSIPPI MEDICAID
MS
05
—
111585
—
AZ
05
—
1363995
—
LA
01
—
P00430021
RAILROAD MEDICARE
AZ
Enumeration date
06/27/2005
Last updated
07/07/2023
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