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Individual

DR. GERALD PETER MCMANAMA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD160341
OR
2086S0129X
Vascular Surgery Physician
R7H29
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202643524
MO
05
500654960
OR
01
770000741
RAILROAD MEDICARE
MO
Enumeration date
07/11/2006
Last updated
04/14/2017
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