Individual
DR. ALYSSA C MCMANAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-1398
(937) 257-0450
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-1398
(937) 257-0450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101230870
VA
207RH0003X
Hematology & Oncology Physician
Primary
0101230870
VA
Other
Enumeration date
03/31/2006
Last updated
10/24/2012
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