Individual
DR. JOSHUA ADAM MANDEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6648
(913) 684-6441
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6648
(913) 684-6441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-39905
KS
Other
Enumeration date
07/20/2007
Last updated
10/31/2024
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