Individual
ALVIN R. MANALAYSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(636) 386-7222
(636) 200-4036
Mailing address
PO BOX 22407, SAINT LOUIS, MO 63126-0407
(636) 386-7222
(636) 200-4036
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2000158325
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205001605
—
MO
Enumeration date
09/20/2005
Last updated
08/19/2014
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