Individual
DR. BOB MANNERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
94241 SIXTH ST, GOLD BEACH, OR 97444
(541) 247-4330
Mailing address
PO BOX 1218, GOOLD BEACH, OR 97415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
71 3396
OR
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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