Organization
CONRAD C MANAYAN D.O. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONRAD C MANAYAN D.O. (DIRECTOR)
(520) 624-2822
Entity
Organization
Contact information
Practice address
1775 W SAINT MARYS RD, SUITE 116, TUCSON, AZ 85745-2696
(520) 624-2822
(520) 624-4222
Mailing address
1775 W SAINT MARYS RD, SUITE 116, TUCSON, AZ 85745-2696
(520) 624-2822
(520) 624-4222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0145
RAILROAD MEDICARE
AZ
Enumeration date
07/30/2006
Last updated
02/04/2008
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