Organization
MANGIL SEO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANGIL SEO MD (OWNER)
(515) 287-7111
Entity
Organization
Contact information
Practice address
4505 SW 9TH ST, DES MOINES, IA 50315-3939
(515) 287-7777
(515) 287-7114
Mailing address
4505 SW 9TH ST, DES MOINES, IA 50315-3939
(515) 287-7777
(515) 287-7114
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
19652
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080598
—
IA
Enumeration date
11/15/2007
Last updated
11/15/2007
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