Individual
DR. BRUCE A MANCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1121 10TH ST, CORONADO, CA 92118-3401
(619) 435-0151
(619) 435-9316
Mailing address
1121 10TH ST, CORONADO, CA 92118-3401
(619) 435-0151
(619) 435-9316
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC18880F
MEDI CAL
—
Enumeration date
08/20/2006
Last updated
12/27/2007
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