Individual
DR. ANTHONY TYLER MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 WESTERN AVE, STE 203, CONWAY, AR 72034-4980
(501) 327-4828
(501) 327-6899
Mailing address
525 WESTERN AVE, STE 203, CONWAY, AR 72034-4980
(501) 327-4828
(501) 327-6899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10047355
TX
208600000X
Surgery Physician
E-10862
AR
Other
Enumeration date
05/13/2013
Last updated
06/05/2018
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