Individual
JAMES A MANDIGO III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1112 W 6TH ST, SUITE 110, LAWRENCE, KS 66044-2215
(784) 841-3211
Mailing address
1600 BOB WHITE DR, LAWRENCE, KS 66047-9304
(785) 312-9561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0429032
KS
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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