Individual
EMORY ANNA MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1801 N SENATE BLVD STE 4000, INDIANAPOLIS, IN 46202-1184
(317) 962-2500
Mailing address
2638 COLD SPRING MANOR DR, INDIANAPOLIS, IN 46222-2207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003077A
IN
Other
Enumeration date
10/06/2020
Last updated
10/12/2020
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