Organization
TALON MANINGAS D.O. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALON MANINGAS (MEMBER)
(417) 540-7880
Entity
Organization
Contact information
Practice address
620 W 32ND ST STE B, JOPLIN, MO 64804-2528
(417) 437-0303
Mailing address
620 W 32ND ST STE B, JOPLIN, MO 64804-2528
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
2012005133
MO
Other
Enumeration date
06/19/2016
Last updated
06/19/2016
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