Individual
DR. DAVID B MANSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3951
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2000155788
MO
2085R0001X
Radiation Oncology Physician
Primary
35-098691
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092961
—
IL
05
—
205027402
—
MO
05
—
2251138
—
OH
Enumeration date
07/17/2006
Last updated
09/17/2012
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