Organization
DANILO R MANIMTIM M D INC DANILO R MANIMTIM PRES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANILO R MANIMTIM M.D. (DIRECT OWNER)
(559) 435-4168
Entity
Organization
Contact information
Practice address
6101 N FRESNO ST STE 101, FRESNO, CA 93710-8606
(559) 435-4168
(559) 435-6733
Mailing address
6101 N FRESNO ST STE 101, FRESNO, CA 93710-8606
(559) 435-4168
(559) 435-6733
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A36441
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A364410
—
CA
Enumeration date
06/08/2011
Last updated
10/25/2016
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