Individual
DR. PETER ANTHONY MANINGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 N MAIN ST, HARRISON, AR 72601-2911
(870) 414-4000
Mailing address
720 EMERALD POINT DR, D2, HOLLISTER, MO 65672-4839
(417) 291-1129
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
114105
MO
207P00000X
Emergency Medicine Physician
E-5580
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175009001
—
AR
05
—
204642102
—
MO
05
—
243419306
—
MO
Enumeration date
05/26/2006
Last updated
06/21/2010
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