Individual
JOHN MANUEL ARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9010 SADDLEBACK RD, PARK CITY, UT 84098-4740
(952) 595-1100
(952) 942-3361
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1100
(952) 942-3361
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
182009-1205
UT
2085R0202X
Diagnostic Radiology Physician
M9472
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548183
ANTHEM-KCR
KY
05
—
102079853
—
PA
05
—
1649233214
—
VA
01
—
2016383
HIGHMARK BLUE CROSS/BLUE SHIELD
PA
05
—
2822897
—
OH
01
—
3427946000
PASSPORT ADVANTAGE
KY
05
—
3810010512
—
VA
01
—
50017692
PASSPORT-KCR
KY
05
—
7100025880
—
KY
01
—
91715
SIHO-KCR
KY
01
—
P00403946
MEDICARE RAILROAD
VA
Enumeration date
04/06/2006
Last updated
05/31/2011
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