Individual
DR. DEMETRIO BERNABE MAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 W EUGIE AVE STE 106, GLENDALE, AZ 85304-1256
(602) 978-6255
(602) 564-9286
Mailing address
7373 N SCOTTSDALE RD, BUILDING E- SUITE 100, SCOTTSDALE, AZ 85253
(480) 941-1211
(623) 478-1534
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
33878
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
969701
—
AZ
Enumeration date
07/25/2006
Last updated
11/29/2017
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