Individual
PETER J MANOS
Active
Individual
PETER J MANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00020433
WA
208M00000X
Hospitalist Physician
MD00020433
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163081
LABOR & INDUSTRY
WA
01
—
110195818
RAILROAD MEDICARE
—
01
—
805168700
IDAHO MEDICAID
WA
05
—
8558504
—
WA
01
—
M112
BLUE SHIELD
WA
01
—
MD657WA
ALASKA MEDICAID
WA
01
—
US0861599
AETNA/USHC SPECIALIST
WA
Enumeration date
08/04/2006
Last updated
05/05/2010
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