Individual
TEODORO A MANUBAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1312 1ST ST, KENNETT, MO 63857-2526
(573) 888-9823
(573) 888-3046
Mailing address
1312 1ST ST, KENNETT, MO 63857-2526
(573) 888-9823
(573) 888-3046
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MDR6627
MO
174400000X
Specialist
R3317
AR
Other
Enumeration date
06/08/2005
Last updated
07/08/2007
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